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356 NE 102 St (12)Owner/Lessee / Tenant /9/f1�i/ / A 692 //,92 #b Qualifier SS# State # Municipal # Architect/Engineer WORK DESCRIPTION / /2� &G■9/v' /Ji Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical 4 79 7 T, f .' ShlU. S RADON C.C.F. rl B,ldinA 316j� Notary as to Con M�Commission E Electrical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 � # /Job Address 3Z V 6 74 ST Tax Folio Legal Description Historically Designated: Yes No Master Permit # 1 - )-(-13 gi&r yJ Owner's Address c ?La) 11, E /A0& fr M /`9777% .9 -?/3f Phone Contracting Co. O (A) t1 r Address Phone Bonding Company cze Richmond Bisnue _54 Mortgagor Address Tudor Brown 62 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN �•E'2 /o , ' 4 /.v7 Square Ft. Estimated Cost (value) l0 / ci0a • 6 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 :rk will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the j stated. 1z/a gaiiiiad ignature of Contractor or Owner- Builder Date 9 'e ∎r a��yiyr�h E�I�NQJfiiITA MONTIcL n COMMISSION NUMBER P/ 1r � 8 SION EMPIRES eMOP _/1 v�J NOTARY V' BOND TOTAL DUE yS' 4D Plumbing Structural Engineer BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 11192 n ❑ Work to be performed under this Permit Legal Lot Description. 6' CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project $ BY DATE *•w+ „ a .Ao 4 -0 y Contractors r License No =' Amt. of Permit $ Address of Building ,i" 6 f G AZ7 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 application 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 e statements o r specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: t Aft. AP BY In consideration of the issuance to me of this permit I age perform the work covered hereunder in compliance with all ordina s and regulations pertaining thereto and in strict conformity with the plans, drawings, : tatements or specifications submitted to the proper authorities' of - iami Shores Village. In accepting this permit I assume responsibility for all work do`nge y either, myself, my agent, servant or employee. AUTHORITY • P 19 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__/) _ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 3,57e__________C!o /0 .2- ' State work to be done and purpose of building (by floors) New Building Remodeling STATE OF FLORIDA, COUNTY OF DADE. ss. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building Inspector MIAMI SHORES VILLAGE Date a /i. , A / No. -__ ..2%C Street__ !_C / Permit No 11/ � �te J p v Disapproved Date d ( Signed) Chairman Member Member Council Approved Date PLANNING BOARD DATE d, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ,191 - - -- and for no other purpose. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $__ t- '7C" Amount of Permit $ 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( ) • (Si Signed _ 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 he foregoing application, and that he did sign the same, and that all facts therein by him stated are true. _ Member Member Member 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDIX ELECTRICAL PLUMBING Owner of Building Legal Lot Description Address of Building CWITRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Ilrowe • PERMIT N? 7401 .7 Work to be p med and this Permi Architect Contractor or Builder 6 Ate- IoftP$' J ubdi- vision Value of Project This permit is granted to the contractor or builder named above to construct the buildin cation herefor in strict compliance with all ordinances pertaining thereto = nd with the underst plans, drawings, statements or specifications that may have been submitted to and a .roved at any time if the work is not done in compliance with such ordinances or if the.pl.. As are c permit is granted is the understanding that the contractor or builder named bove .ss es regulations pertaining to the work covered hereby whether shown o sibility for work done by his agents, servants or employees. INSPECTO N41;, In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in c.mpliance . a$(ordinance and ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mia Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY DATE /1 194 Contractor's License No. r to install the equipment or device describe . a appli- g that the work will be performed in compliance i any proper municipal authorities. This Permit may be rev d ration. A further condition upon which thi thorough knowledge of the ordinances and r specifications and that alssumes respon- / AUTHORITY APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the ing or other structure herein described. This application is made in compliance and conformity with the. Building Ordinance of M. Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules . regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approv plans and specifications must be kept building dPing progress of the work. Owner's Name and Address__ Registered Architect and /or Enr'deer Name and address of licensed - contractor Location and legal description of lot to be built on: Lot Block Subdivis Street and Number where work is to be done State work to be done and purpose of building (by floors and who, being by of the above descr therein by him st Permit No._? Disapproved ( Signed New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof overing Estimated Total cost of improvements Amount of Permit $ - 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 fro 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 spection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s bcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) I ,��/ , 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 st duly sworn, upon oath deposes and says tha he is the nstruction, tha - has carefully read the fore oing application, and that he did sign the same, and that all facts e MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT l and for no other purpose. to me well known, Date PCL_ Read, Sworn to and Subscribed before me. A< 19 L Street_ _ -_ -- -V / Notary Public, State of Florida Building Inspe. or My Commission Expires PLANNING OARD 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 1 materials and /or workmanship. t •