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334 NE 102 St (7)
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / 2 2 /99 Job Address St/ )\J E 10.2 s Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant C S ck r J C) - Cr Owner's Address 3 N E Contracting Co. 1,V€ X1 Address Qualifier _ State # Architect, Bonding i Mortgage. Notary as to Owner and/or Condo President Date Notary as to Contractor or My Commission Expires: FEES: PERMIT D RADON /Oasq- SS# Address My Commission Expires: C.C.F. 0 NOTARY S Master Permit # 0 O Phone ( 3 c . ) �S g 1 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION P\ V1 k- 1 Kr (kY1 C f w L, lui 6 A 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. OWNERS 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. r Signature of owner and/or Condo President Date Signature of •ntractor or Owner- Builder Date )4 — - 2 d' e -.S 6,98-0 j • -co(' ICIAL NOTARY SEAL Cr.ADYS J VILLAR N ARY 1 J 3LIC : TATh F7,O 7DA COMMISSION Na CC7141i13 thy cOMM SIGN EX?. MAR. 122( BOND TOTAL DUE 1 1r- ' r - ) //S APPROVED: Zoning Building 441/179 19 Electrical Mechanical Plumbing Structural Engineer Date a)7 FEES: PERMIT 1-(Z. RADON PERMIT APPLICATION FOR MIAMI SHORES Job Address Signature of owner and/or Condo President Date 3 3 `/ /06-1 STTaxFolio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant �©c XL L:=-- Master Permit # �, j d f (.,�`' Owner's Address C, /4 FI'E Phone 7S 9 e? /3 Contracting Co. C'!C! \/ I_ re-, 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 WORK DESCRIPTION PAT"' r H® Square Ft. Estimated Cost (value) se3D., 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. US \V \ gnature of Contractor or Owner Notary as to Owner and/or Condo President Date My Commission Expires: My Commission Expires_ der Date otary as to Contractor or Owner- Builder Date C.C.F. SC NOTARY S TOTAL DUE (-7 APPROVED: rZ Electrical Zoning Building Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date LI - Zh y95 Job Address 53 NC 102 T. Tax Folio 1 1 — 37 6 " 013 S L50 Legal Description Historically Designated: Yes No G)Lessee / Tenant C€ 4-(Z 04- „kr-R. ,N - Su 3A-NA Master Permit # `77 3,5" Owner's Address 3 3'j me toe. s r Phone 758 ' -ci 8 t3 Contracting Co. 6 y C7w NctZ Qualifier _ Phone State # Municipal # toP ut ) n Ins. Co. Architect/Engineer Bonding Company I J /A Mortgagor N/ Featherbe 28-1W Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION PA 1 N T 10 KT 2w2 Coml./4m Cot_ : `, Fe Tt-t e•CJ3bo 4 28 1 Co wktiTE) / TR(M eoLori_ Went) 06 " > A -15 .zw ('PAS L Square Ft. i 5o F T. Estimated Cost (value) 80-1 -2 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: U FEES: PERMIT '3' RADON APPROVED: Zoning Mechanical Building � -y�z7f 95 ignature of tr 'ctor or Owner- Builder Date �eeie�er er- F-. Date M 1olt1t i s Kagl. NOT AA 7 SEA: ♦ AA M MONTIEI. i X wI * COMMISSION NUM9e. < CC401261 7 , , " 4p MY COMMISSION f OF F\. AUG. 1? !': C.C.F. . c NOTARY �. O TOTAL DUE U 3, Electrical Plumbing Engineering MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Owner's Name and Address (7-PS � V.Sr�1nY� Jed-Ce. 7s7- 7(73 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. °11 l0 Date ? .J 19/0_ No f StreeU1/ /01fr R egistered Architect andior Engineer t- Name and address of licensed contractor ® .-A) Location and legal description of lot to be built on: Q � ,J { Lot Block e Subdivision ,g L i // JD /0 ,--13freet and Number where work is to be done 3 -L1 ' 1 r• /02 to work to be done and purpose of building by floors). state exterior colors (submit samples) W ` ° �e• ral 4- 1 Q R v S J and for no other purpose New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering < Yirstimated Total cost of improvements S 30 0 Amount of Permit $ t � t/ 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 simi:ar 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 agree s to employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) U & &v..a J �e 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 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 :rue. Permit No. v Date ✓A9/, 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 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.