RE-ROOF PERMITS 91 NE 91 STPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address 9/ NE 9/
Legal Description 31 510 / Wil__
/ Lessee / Tenant i��, G C_
Owner's Address 9/ NE 9/ ,e. phone
Contracting Co.,,,,,e /./ s
. Address
Qualifier G US/3L! /9/v „2 d SS# phone
State# C'o . 1 41mpetency# Ins. Co.
Architect /Engineer Address
Address
Address
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. 3opp Estimated Cost 64,r,e2,
�o
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. 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, 1 authorize the above -named contractor to do the work stated.
.5.00
`cv.—
Notary as t Owner and /or Condo President
My Commission Expires :NOTARY PUBLIC, STATE OF FLORIDA.
* * * 4.5Y COMM ION EXPIUES: June 22 1995.
TONDED_TURVNOTARY _P C UNDER1W,rTERS.
PERMIT FEE: APPROVED: Fire
Zoning
Mechanical
ct■
.dent Signature of Contracor or Owner - Builder
Date:
tary /as to Contractor ����r wner - Builder
My Commission Expires: 4W/2,/
92 ,v ,.
Other
Building 1 '� 1t) Electrical
Plumbing Engineering
Tax Folio /J ,� �-�lp / 3 i/ "Yf /
Master Permit # Jim
/
�� - /7B-29
: T # ft Tax Folio No. 1 v- (. /
rn to and
a r y Fjtl b 1 i c
subscribed before me this
NOTICE OF COMMENCEMENT
a of Florida
;y of Dade
JNDERSIGNED hereby gives notice that improvement will be made to real;
?rty, and in accordance with Chapter 713, Florida Statutes,
- mation is provided in this Notice of Commencement. I)+
Cl
)escr ip t i on of property: (legal description of the property, and street address if �,
available)
IX
'279. S, /
General description of improvement:
Owner information:
a. Name and. Address: / //N Z 6/1-5 S
b. Interest in property:
c. Name and address of fee simple titleholder(if other than owner):
Contractor: (name and address) pRoFE5.5/0/v,qL- 12ooF /Iv T.vC
,Zp vo r1 l39 s?;, o 9 Locief?
Surety:
a. Name and Address
b. Amount of bond$
Lender: (name and address)
Persons with the State of Florida designated by
Sect ( > ( a )7 t ,cFloroida
other documents may be served as provided
(name and address)
In addition to himself, Owner designates
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b
Florida Statutes.
Expiration date of notice of commencement (the expiration date i 1 year from
the date of recording unless a different date is specified)
/G SS'.Z /vu/ 3 /
/•"/ / GL 330/
Sign
day of
of
ner
1991.
li
ca
0
\4•_\_a_\_
NOTARY PUBLIC, STATE OF FLORIDA.
MY COMMISSION EXPIRES: June 22, 1995.
BONDED-TURU. NOTARY .PUBLIC UNDERWRITERS.
M Commission Expires:
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statc„ ur we 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 iuilding Divisinn 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 prggress of the work.
Owner's Name and Address ........ :. _ — No... L.l :.
Registered Architect and /or Engineer .,.. ...••• ,,,•.. ,.,,,..,...•,•.,,,,.,, �..
Name and address of licensed contractor G24.L'ea. — . . , rz .... :....._._...._
Location and legal description of lot to be built on:
Lot Block // Subdivision
Street and Number where work is to be done L.l / :
State work be done and purpose of building (by floors)....._.. • :
_..__ and for no othery purpose.
Ncw Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind ofjoundation Roof Covering .. „.. --4 ................._..__
Estimated Total cost of improvements $ , er °a Amount of Permit S.
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 arc 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)
Building Inspector My Commiuion Expires
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 tr Q ,Q
Permit No. t13 &J I Date l /U Read, Sworn to and Subscribed before me.
Disapproved _ Date.
Notary Public, State of Florida
(Signed)
PLANNING BOARD DATE
Chairman Member
Member Member
Mlcmber .. .. __....__....._._._._ ...._ Member ...._
Council Approved Date Disapproved Date
NOTE: A charge of S1.00 will be made for making corrections or changes to this application after approval has hen obtained from
the I'lnnnir,;; Board.
A re•wpection fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspevtirsn or faulty
materials and /or workmanship.
P i 3
Yyl
0 /3 O /DLO
I ,
2 4 C 1 /), L
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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 prpgress of the work.
(Suess Benson) Date..._..._..._ _ . 31?? i ._..._ _ _.._ .__ , 8
Owner's Name and Address Laura McCarthy. ._ Re lt./ScottoL No 9 Street._..N • E . 91 St .
Registered Architect and /or Engineer -
Name and address of licensed contractor Andrews Roofing & Improv. Co. Hialeah Fla.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 9 1_ N. E ....91.St Fla.
State work to be done and purpose of building (by floors) repair two leaks: in tile . provided conditions
permitting.
New Building Remodeling Addition Repairs X No. of Stories
To be constructed of Kind of foundation Roof Covering tile
Estimated Total cost of improvements $ 375.00 Amount of Permit 12.50
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..... Andrews ___.Roofing ....& ....Impx.ov.. co... 4300 E, 1 , Hialeah, Fla.
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 complia c: •tn all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be •osted f. inspec on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ o y such s bcon /ctors, s work to formed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signe
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
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, said that all facts
therein by him stated are true.
20 t o
Permit No..
Disapproved
(Signed) .
MIAMI SHORES VILLAGE
2 squares
BUILDING INSPECTION DEPARTMENT
Date
Date._
3 -34
TT
and for no other purpose.
Read, Sworn to and Subscribed before me.
to me well known,
Buildi g Inspector My Commission Expires
Notary Public, State of Florida
PL NING 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 hen obtained from
the Planning Board.
A re 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.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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 prggress of the work.
Date... .__ __ _ June 22nd 1977
Owner's Name and Address . Mr. Roger Coley _ No.91
Registered Architect and /or Engineer ,.,,... ,,,<,,,,,.... „,.,.,
Name and address of licensed contractor Lang Roofing. & Tile Co ' lst Miami, Fla. 33150
Location and legal description of lot to be built on:
Lot Block Subdivision
Stzeet and Number where work is to be done. 9 1 N. E_, 91st Street
State work to be done and purpose of building (by floors)Replace valley on northwest section of roof.
and for no other purpose.
New Building Remodeling Addition Repairi X No. of Stories 1
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 495 RQO Amount of Permit $..1245
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection • • e site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco • act • , • work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA, 1
COUNTY OF DADE. j Ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. f
Perm ed
Permit No.__.... I ``..ice$ Date / ( � 7 ' __._ Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Notary Public, State of Florida
My Commission Expires
ANNING 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 rc- 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.
Owner's Name and Address t '
Registered Architect and /or Engineer
Name and address of licensed contractor
Street and Number where work is to be done
State work to be done and,purpose of buil
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. , f r (" n
Location and legal description of lot to be built on:
Lot Block Subdivision
Date ti's
rM A r - -- �� N
g (by floors ).
New Building Remodeling
To be constructed of Kind of foundation
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building •
Permit No /� /�
Date
Disapproved Date
( Signed)
Addition
Remarks (Signed)
and for no other purpose.
Repairs t% No. of Stories
' % /
=
Roof Covering
o �
Amount of Permit
plan Cuba
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 contractors, on work to e_perform und this
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersi 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 7t t true.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Street
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.
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Lot
MIAMI SHORES VILLAGE, FLORIDA
BUI DIN'GF
c idp.- i 1 PERMIT 'N? 11424
PLUMBING fl
ROOFING U ' Work to be performed under this Permit
G' o
,j •
BL
Subdi-
vision
Address of °' y ? Value of Amt. of
Building / , . e Project $ p� :) Permit $ :, , Y.. """""
�
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. - -
Signed • ° xa 0 BY
DATE a 195 1
F
Contractor's
License No
(0
`,
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 oi• 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.
C e'� a 6 , > ■ °'� .s ew'"
- A CONTRACTOR OR ° BUILDER BY AUTHORITY
1