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501 NE 102 St (13)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 50 / NE /bah 5�- Tax Folio Legal Description /! / / l Historically Designated: Yes No Owner/Lessee / TenantX v 1 ^g /l e F Me.�y4 /e - Master Permit # 'y (J g 3 3 Owner's Address Phone 30 5- - 75c?- X600 Contracting Co. G1/1h41/1 Address Qualifier SS# Phone State # Municipal # Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIONX ?A7"/■4 Cil/Ai Ye- 0 / /34 - 1 - G CfD r 39 h Square Ft. 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 pennit to do work and installation as indicated above, and on the attached addendum (if applicable). 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate pennits 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 wi y!` done in complian ; with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work Signature of owner and/or Condo President Date Signatur Notary as to Owner and/or Condo President Date No„- as to ontrac My Commission Expires: My Commission Exp FEES: PERMIT APPROVED: "ming RADON, B qVIefOr Estimated Cost (value) 147N-Oviclthritts5 on*. 600 - 00 or Owner -Bui � ..3s,) ZiJ`tl es: GLADYS 1 V1LLAR GARY PUBLIC STATE OF FLORIDA COMMIS O EXP. CC AR. 0 �� MY COMM . C.C.F. ' 6 NOTARY r BOND Electrical o/ Date TOTAL DUE 5 Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ()GT Z' may Job Address Sot Nr /aZ 5 T Tax Folio Legal Description nn Owner / Lessee / Tenant . DA-A0577_ 3 • C rAJ Master Permit # Owner's Address .SO / /V e - eO Z S 7 Phone 7 S Contracting Co. & J N F p 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 CGLEPY1 PitiiN)T" AUJ ' SOFF /TS AND E x rg -J 2 w A s ; FAA 14 7 A N rF2I o2 3 a 7 ZAD©1 S WRITE d-ori Square Ft. Estimated Cost(value) 41 SOD 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 My Commission Expires: ** * * * * * * * * FEES: PERMIT #3/f N RADON C.C.F. APPROVED: Fire Zoning Building Mechanical Plumbing Signature of Contractor or Owner- Builder Date: Notary as My A", COmm1SS1 np Rp1Q QFFICIAL NOTARY SEAL 2 1 ( -re BARBARA ANN FUOAZZI � r 11 * 360191 COMMISSION NUMBER CC 360191 • * F Q • NY COAAA*SSION AP. ** OF Fl.0 M 19 29 99 NOTARY 0 TOTAL DUE t /0/2 Ai er Other r " E 1 ectrica1 Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE � 62'. -dab 0 .2 Date Job Addr ss / / Tax Folio!' I D Legal Description 4„ ' "' " ._,_i1/ 41 7n slur it Owner / Lessee / Tenant d ��' 11 — Master Permit # 51714 Owner's Address rz / /foe 7(5 ? ,57 Phone 7 ( - 7/4‘ AZ___ _ Contract i " �ssrsi �� C J Address d /5/ ` /SC Qualifier State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL G MECHANICAL ROOFING P ING PENCE SIGN WORK DESCRIPTION �� O �, � Cam./ /� � � � �e•��:L' 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 informatio . i accurate and that all work will be done in compliance with all applicable laws regulating / Air.ction and zoning. Furthermore, I authorize the above -named contractor to do the work sta Signature of owner and /or Condo President " S -ture of Contractor or Owner- Builder Date: Date:e / /e /i Notary as to Owner and /or Condo President My Commission Expires: SS# `( ciZe5-7-7'f.Q7 9 to y as to C y Commission * * * * * * * * * * * * * * * * ** FEES: PERMIT -? / r 570 RADON C.C.F. -V' NOTARY �1 D 0 TOTAL DUE t ? �O APPROVED: Fire Zoning �uildin Other Electrical Mechanical Plumbing Engineering 55 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. ✓ Owner's Name and Address AN l E L 3 0 VNEN 5 No. S 0 Street_('(, k t 0Z S T R egistered Architect andior Engineer (/Name and address of licensed contractor + •7 New Building To be constructed of n (— Estimated Total cost of improvements S \D Zone cubage required Distance to next nearest building ti Maximum live load to be borne by each floor I hereby submit all plans and specifications foi oYellow Corn Location and legal description of lot to be built on: /� p / /� n q Lot /3N 1 .k / / Block fj Subdivision /'I`�' rF 7 J /� ¥ /1 J �46 1 -:" Street and Number where work is to be done S C t Nt . ( 0 Z s RE „/State work to be done and purpose of building by floors), state exterior colors (submit samples) 0 FA( MT EXTnR102 N Cot_og 712. try. CoLoz. CCM Rt P tNISF} A bwo0I F L.DOIZS SAND 3e.ol►TS ?ohyt)i ET HPN. and for no other purpose. Remodeling Addition Repairs No of Stories Kind of foundation Roof Covering 'J Amount of Permit S . 7 / "5 a ham+ SW2348 red /4 v Date S1\fJ *White _ SW2123 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 u •r 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 , employ onl A uch subcont work to be performed under this permit, as are licensed by Miami Shores Village. / ` _1. _ t.a, ,,► ti - ■ Remarks (Signed) - - 19 L and who. being by pe first duly sworn, upon oath deposes and says that he is the of the above descri ed construction, that he has carefully read the fore oin application. and that he did sign the same. and that all facts therein by him stated are true. Permit No. o2 Date ( / (fb- Read. Sworn to and Subscribed before me. Disapproved to (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, Notary Public, State of Florida be sent to 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. 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 it with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances'~ Miami Sho es Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein speci d 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_l_LIZ:_ti___41 Registered Architect and /or Engineer Zone cubage required STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No Disapproved (Signed) y / a c Date Date , 'o 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 State work to be done and purpose of building (by floors)— _________. ///) /) No._-- Street L - - L-- - - i - - ± t. and for no other purpose. New Building____ Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation_ _ Ro Covering ( n -) 2 , Estimated Total cost of improvements $____ ' — Amount of Permit $__ - _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 (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 careful read the foregoing application, and that he did sign the same, and that all facts therein by him s ted are trtfe• c 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 $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.