38 NE 102 St (4)Date /01/949P
Legal
Owner
OWNER'S
be d
auth
Description >'ez /1/ 4 77D j,a/C' ,646//
L. wl L 50,0
/ Lessee / Tenant
Contracting Co. (1!)J-Og Po p 1, 2elLc
Qualifier /e4k4wee- ZdeteiveRi/A7s# Phone 94t7
State # Municipal # Competency # / / 5 • *•s-
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Owner's Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING P AVING FENCE SIGN
P/91•vt 7;2' e 4o T -- 44 fe
WORK DESCRIPTION
Square Ft. Estimated Cost(value)
7S
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.
** *
FEES:
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 3 O 'Yl 1 ° ST Tax Folio /'/ 3 ?O /3 /5.16o
Master Permit erd2__
Phone
Address /10/4, , t 1 _ / 7 9 s 7
FIDAVIT: I certify that all the foregoing information is accurate and that all work will
in compliance wi all applicable laws regulating construction and zoning. Furthermore, I
My Commission Expires:
Zoning
ze the aboveame' c• tractor to do the work stated.
. r
Signatur of owner and or
Dte: /Pa-
Notary as to Owner and /or
0 DID take an oath, or
[ 'DID NOT take an oath.
NOTARY PUBLIC STATE OF FLORIDA
* * M COMMISSION EXPIRES 5/0'94 *
Bonded thru Stembler - Adams & Sweet
PERMIT / - RADON C.C.F.
Mechanical
Buildin
Ar
6HINE CHURCH
uiblic State of
Condo PresiMan /Tap; Signature o z ps
type or stamp name of Notar9ftl�Ilc 0
• •.onal. y known G0R Produced I.D.
,e and number of I.D. produced; ��! ,4;1
Condo President �I i t A to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * **
4'0 NOTARY J�D
TOTAL DUE y3 1 O
Fire Other
Electrical
Plumbing Engineering
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
PERMIT
"2.,t (-.) 1
K.:
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
f
11T° _ 4326
BY
DATE d
I 1
Contractor's /
License No f ' t
Work to be performed under this Permit t i 0 )4 . rr/1 7 e -1. - •'c.i
Subdi-
vision
Value of Amount of
Project $ Permit $
195
This permit is granted to the contractor or builder named above to construc 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 drawing ,or in the statements or specificat'• s yd that he assumes responsibility for work
done by his agents, servants or employees. i . `
Signed. f.�
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I.assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY e
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Lot
Contractor
or Builder i%
Legal
Description.
Address of --
Building ,r
Work to be performed under this Permit
n 6
i
ONA.A0TOR 0 e BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE / , 195
PERMIT N? 10977 Contractor's
License No
Bl.
Subdi-
vision
Value of
Project $
BY
•
-.0r1 111 • 41 " 1"\ " #4
Amt. of
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 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 esponsibility for thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or draw' ^gs or ' the sta en o specifications and that he assumes responsibility for work
done by his agents, servants or employees. f 7
Al* ' 1 BY
Signed • , 4 `
INSPECTOR �_,,
In consideration of the issuance to me of this permit I agr perform the work covered hereunder in compliance with all cfYtiinances and regulations
pertaining thereto and in strict confori ty with the plans, drawi tatements or specifications submitted to the proper authorities
In acceptin isp mit'J assume re nsit■ility for all work do by either, myself, my agent, servant or employee.
of Miami Shores Village.
AUTHORITY
STATE OF FLORIDA,
COUNTY OF DADE. f ss
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.
a
O -P-4.• No._:(�
Owner's Name and Address ._.rf.�
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision p
Street and Number where work is to be done J e .___ __ 2 • --
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Co ring
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 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 su . • actor on work to 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
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.
Disapproved Date
(Signed)
Building Inspector My Commission Expires
Notary Public, State of Florida
Street
PLANNING BOARD DATE
Chainnan 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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