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543 NE 102 St (8)Date Square Ft. / j O 0 APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE St , F Job Address S 3 /V . 102 Si. 33 r 3 $ Tax Folio Legal Description Lessee / Tenant i5 /4 Af 6W crI tt,SSf} -jJ Master Permit # 3 5 5 / 3315g Owner's Address 6 , f E_ rot- r r / N,f)-f- roc, kry , I Phone "98 Contracting Co. AJ, / Address - Qualifier State # Municipal Architect /Engineer Bonding Company Mortgagor /US, r c 4 -LE-7" 4L7 Permit Type(circle one): BUILLDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WK DESCRIPTION Prx,.`l m,�� � - S -2.� s Git, l�ll1 U C mANk OR 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. Sig te: ur of owner and /or Condo President Signature of Contractor or Owner- Builder Da ,Y Notary as to Owner an /or Os111c117iLHL My Commission Expires: IRMA ROMAN NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC006084 MY COMMISSION IXP. MAY 26,1994 ** * * * * * * 7 FEES: PERMIT (59 RADON C.C.F. Zoning Building Mechanical Plumbing Estimated Cost(value * Date: ,/A- phone Lns.Co. Address km-o b L. ; 7 t.P Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * ** NOTARY TOTAL D Fire Other 1 4 1 - Electrical Engineering Owner's Name and Address Street and Number where work is to be done State w•••:�•. be done and purposeof b ilding (by floors)_ Building Inspector Chairman Member Member Council Approved Date 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. 1 , s - = Date Date Date Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ �O ® 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) tai � (l 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 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 Permit No P' Disapproved (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida PLANNING BOARD DATE 4 ,19 No Street — n.2. [( c? My Commission Expires Member Member Member Disapproved Date NOTE: A charge of $1.00 will be made for 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. making corrections or changes to this application after approval has been obtained from BUILDING ELECTRICAL PLUMBING ROOFING Owner of ,- Building Address of Building t� MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 14046 ❑ Work to be performed t der this Permit t . Architect Contractor or Builder ; t" Legal Lot II Bl. Description, u Subdi- vision 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 the statements or specifications and.that he assumes responsibility for work done by his agents, servants or employees. '+, . - e r Signed • , - > . s„. WR � i� ' ...: ,, j , INSPECTOR In consideration of the issuance to me of this permit I agree tcisperform the work covered hereunder in compliance with all es 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. L CONTRACTOR OR BUILDER BY AUTHORITY Value of -."" Project DATE *' Contractor's License No Amt. of Permit •,- J y $/ 4Y 195 ;UILDING LECTRICAL 'LUMBING )wner of :wilding .rchitect ontractor i r r Builder c MIAMI SHORES VILLAGE, FLORIDA DATE 194 Contractor's License No. PERMIT N° 8691 Work to be performed under this Permit i . ,egal Lot Bl. Subdi- )escription vision - ddress of d y ; ; , ! , Value of Amt. of uilding - S / / / / A ' Project Permit • / t' • 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 appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any 'fans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked i. 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawin s or in the statements or specifications and that he assumes respon- bility for work done by his agents, servants or employees. ' r ' / j Signed By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the' work covered hereunder in compliance with all pi diriances and regulations ?rtaining thereto and in strict conformity with the plans, drawings, statement or specifications submitted to the proper authorities of Miami Shores Village. accepting, this permit I assume responsibility for a work done by either myself, my agent, servant or employee. I ,_1 !:� j t CONTRACTOR OR BUILDER BY AUTHORITY Owner's Name and Address ``-'.4 Registered Architect and /or Engineer G" 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. • Name and address of licensed contractor I� f � r • “<'. 1� Location and legal description of lot to be built on: Lot Block Subdivision otl' Street and Number where work is to be done � � � State work to be done and purpose of building (by floors)_ ___�^ ? t _ �� � l�s - Date ( , 19 <a No Street and for no other purpose. New Building Remodeling Addition Repairs To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $___J1 4 3 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 No. of Stories 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 sub ontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ti 7 Gam Remarks (Signed) ___�✓��� ' f- ; = 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 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 0 Ce i Date '� Read, Sworn to and Subscribed before me. Disapproved Date � ' i" Notary Public, State of Florida Signed) l Building Inspec r 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. BUILDING ELECTRICAL PLUMBING Owne Building Architect Contractor or Builder Legal Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N • 4222 Work to be performed under this Permit BY DATE 194( Contractor's License No This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in t e ppli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be evoked at any time if the work is not done in compliance with such ord or i f 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 res. onsi.• ty for a thorough knowledge of the or ances and regulations pertaining to the work covered hereby whether shown on the plans or dray,ngs o i e s -nts or specifications and •. h .7.. : s • -s respon- sibility for work done by his agents, servants or employees. Signed. ` """ By INPEC R • In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances r. regulations pertaining thereto a d in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mian ores Village. In ace" tm thi i it I l ss m respol sibility for all work done by either myself, my agent, servant or employee. AUTHORITY