The URL can be used to link to this page

SIDEWALKPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ( Zo Fel / /0� � 7 Job Addres U e Tax Folio L )option 40 / °h 8 0f t0 v 2 U Historically Designated: 6/ - a cerx.2 Owner/Lessee / Tenant � eocR 2 Q4 mE /Or Owner's Address Contracting Co. Or, e ry l ex S N c_ Qualifier -(. a 7" L O e (Act Architect/Engineer Bonding Company Mortgagor f 2a7 �r , � 120 q, Signature of oer and/or Condo Prrident at Notary as4o Ow rjnd/or Condo President My Commission Expires: NOTARY'PUBUC - STATE OF FLORIDA TONY GERACI COMMISSION 5 CC603309 EXPIRES 12.8.2000 BONDED THRU ASA 1- 888.NOTARY1 It 20 (4 . D to APPROVED: q • Zoning Building . >�+ ` �'W I Mechanical Plumbing 1 --P 44 /0 ct9P70 Phone Yes Master Permit # ztifm Address -e90 /u W /6/ 4- Phone 95�7'(9 1' State # CBS - 0006 9 Municipal # Competency # Ins. Co. &RW D 4 Address P/ Address 1\)/ }!1 Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBB MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION P 1 c .37 / OT r4 (E. ►.) 2 a b e 1 ) 3 w 1 k tti1 L e r e Orsipi '=Iel►J w j45 r - ReelIq - ceD Square Ft 1 2C Estimated Cost (value) 600 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 Contractor or Owner Bui1t4 r of Owner -Buil My Commission Expires: .n as to Con FEES: PERMIT 4 ' 0 • RADON C.C.F. ‘D NOTARY Electrical Y PO O P P K A A L NOTARY 81AL N6 OW NOM - OOMINNON NUMB CC$34031 4, w commmeoli ow. OF Ft.° DEC. 25 1 97 • BOND Date TOTAL DUE 47O ese) Engineering J. H. MANUCY. INC. LAND SURVEYOR 4694 PALM AVENUE Suits 203 HIALEAH, FLORIDA 33012 PHONE 821.1281 821-1220 FOR: T1 tAi as recorded in Plat Book Florida t;LORGE BERGEN ORDER NO. 9 r -, I i 7 ... : I . '' I. z T 1 — 1 — T — 4 1..:: r 10 16758 .ar f /' J / S O 1,6 et Page I Hh:ftl.hl CERTIFY that the Plan shown hereon rel)rest'llls ,l Sur\ (1 Illadt' a d&) It:'.' di/echo!) am! Iti 't rut• ltld tiul''r11. to the hi s my t of m knowlt'dl;t. and !who'. • .* t• .1. 11 \f.111ui'y Rrvl. Land SI)rrt':1w No. 1 178 Barnc'\ :1 Herrick Reg. Land Surr-egr)r ) \ltl 1C191 State of Florida PI 1 !:- !'L�1r G. F. (3 ` 75 , Ri., /4.7s r l \ /9 7 ' - i. ci:3' ., v a2v' v C1 CJ, r.. !) • SURVEY OF: Lot 1 and the East 30 Ft. of Lot 2 of 910.7k 11 of "AMENDED PLAT OF MIAMI SHORES•, SECTION ONL.," 7u DATE: F.B. : 1 y -11 REV. according to the Plat ther•_•of of the Public Recolda of D -Je County, April 9, 197 11 ' • ""•••••••.I APPLICATION FOR BUILDING PERMIT Application is hereby umdc for the approval of the detailed statement or toe plans and specifications herewith submitted for the build inc C71) 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. Date.. .. No 2S 19 gS Owner's Name and Address' � 7 .�9. �.._.-. Street. i . ( 2 -5t A en Registered Architect and /or Engincer.....(I` v - / � � - P Q Name and address of licensed contractor ▪ fais 7! -A.) _ Location and legal description of lot to be built on: Lot Block p A Subdivision Street and Number where work is to be done94 ... 5.....to .... _ .. " ____ p ...._._ ,._ State work to be done and purpose of building (by floors) . a` Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT My Commission Expires , . , . • .rn•.....^nn.n t t ••+n.,...erf, , _..__ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Vito of foundation �� oof Covering gat ( Estimated Total cost of improvements $ 1 Amount of Permit $..t3 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 %Vorkrnen's Compensation Act, being Section 5 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 she of the work such public notice or noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. J 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. -- � Date ! "'` Read, Sworn to and Subscribed before me. Disapproved .... -?11} _ � Date.. Notary Public, State of Florida (Sigoed) a • PLANNING BOARD DATE Chairman Member Mierr,ber 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 I'I.innir.. Board. A re•ir►'pection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. J. H. MANUCY. INC. LAND SURVEYOR 4694 PALM AVENUE Suite) 203 HIALEAH, FLORIDA 33012 PHONE 821-1281 821-1220 FOR: 6 „ ' So 1 cs recorded in Plat Book Florida ORDER NO. iz (,,,/ E. , • GEORGE BERGEN 10 9 16758 THE ROAM SOCIETY PROFESSION "1. LAND SURVEY Urn FOUNDED 1953 • ; • • g 7 I .? IIEltEHY fin that the Plao , :hown heruon represents .1 Survey made undi.'r Inv dii ectuln tIid . is True and (..crvec.:k to the hest of iny knowledge and belief. `Z1 • 1. ef H. Nlacidy 11c,a Land Surretior No 1128 Bartle % A Herrick Reg. Land Su it yor No 1993 State of Florida at Page SURVEY OF: Lot I and the East 30 Ft. of Lot 2 of 3lock 11 ol "AMENDED PLAT OF MIAMI SHORES, SECTION ONE," 70 DATE: F.B. REV. A/19-16 Apr i 1 9, 19714 according to the Plat thereof of the Public Recol:ls of Dade County, / / . 't,. , f J. H. MANUCY. INC. LAND SURVEYOR 4694 PALM AVENUE Suite) 203 HIALEAH, FLORIDA 33012 PHONE 821-1281 821-1220 FOR: 6 „ ' So 1 cs recorded in Plat Book Florida ORDER NO. iz (,,,/ E. , • GEORGE BERGEN 10 9 16758 THE ROAM SOCIETY PROFESSION "1. LAND SURVEY Urn FOUNDED 1953 • ; • • g 7 I .? IIEltEHY fin that the Plao , :hown heruon represents .1 Survey made undi.'r Inv dii ectuln tIid . is True and (..crvec.:k to the hest of iny knowledge and belief. `Z1 • 1. ef H. Nlacidy 11c,a Land Surretior No 1128 Bartle % A Herrick Reg. Land Su it yor No 1993 State of Florida at Page SURVEY OF: Lot I and the East 30 Ft. of Lot 2 of 3lock 11 ol "AMENDED PLAT OF MIAMI SHORES, SECTION ONE," 70 DATE: F.B. REV. A/19-16 Apr i 1 9, 19714 according to the Plat thereof of the Public Recol:ls of Dade County,