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ROOFMIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BU1ID11 TGf 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. Date — Owner's Name and Address Z gz£ s3 ,;-)- 5 —7 No. Street Registered Architect and/or Engineer - Name and address of licensed contractor -- Location and legal description of lot to be built on: Lot Mock Suub`divisionG�. ----- Street and Number where work is to be done 2 Iv � L d- 57- Q --- State work to be done and purpose of building (by floors), state exterior colors (submit samples)© ct and for no other purpose New Building- Remodeling. Addition Repairs No. of Stories��- To be constructed of — Kind of foundation Roof Covering C . Estimated Total cost of improvements S 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 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 obligators 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 insilar compliance from all contractors or sub -contractors employed by him in the work to be performed under this permit: and will post or c u to be po tad for ' pettion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to em my such subc rs. o k to erformed under this permit, as are licensed by Miami Shores Village. Remarks !Signed) �/ ` -C-/ `-4f +--- '�,r-- STATE OF FLORIDA l COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 pocation. and that he did sign the same, and that all facts therein by him stated are true. Permit No. � Date z 6 Read. Sworn to and Subscribed before me. AZ- D i s approl•e d Date XZ (Signedl -_ Building Inspector PLANNING BOARD Notary Public, State of Florida My Commission Expires DATE Chairman Member - Member Member Member Member Date Disapproved Council Approved 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 Ailplicatian is hcrch)' si►adc for the al•proyal of the detailed statc.,,s ns ul rile plans and specifications hcrrwith submitted for the build ink or other structure herein desenbcd. This application is made in compliance and conformity with the Building Ordinance of Miami Slian°s �'ill:tgc, krinricl.►, aiul all lsravisinns of the Laws ref the Stnie of Florida, all ordinances of Miami Shares Village and all rules and r. gusations of the i3siilditig Division of Miami Shores Village shall be complied with, whether herein specified at not. A copy of approved plans and specifications must be kept at building during progress of the work. Date ..._.. December 6th ,19.82 Owner's Name and Address.Mr.L.... ordon Sitber_....--•__......................... No...?.53.._._. Streeter»....E. _..92nd...._. Registered Architect and/or Engineer ... -__............ .................... ...............................................,-„-....,,,--•,,..,.,,.,r--•..-••.,,..,,.- ,.,,.................I ............. Fame and address of licensed conttpctor..Ga.mbi•ll_•Roofing•., 2e•paid.......9LLaQ.w...... P.1ac.e.,...Miami_..Sborei Location and legal description of lot to be built on: Lot_.___ ............................... Block .................................. Subdivision ...................... ................... _..—....--..-__ ..... -•- .......... .—.......... _ .._..._.. 253 N. E. 9 2nd Street ...__.._.— ..... -- ............. ..... Street and Dumber where work is to be done ..................—...----......-•---__....__...__- -...e—..-•----... State work to be done and purpose of building (by floors).. Roofing .and_. flashing work-on,barrel tile roof.._.......... ... -... -............... ............................................. ----.................... ........... ,........ �............ _......: _._......................._ .. _ ._ ...._ ._... ....._.... ..............................-•--•.........._.... and for no other purpose. New Building ......... ....... Remodeling ............... Addition.......................... Repairs ............ No. of Stories..... _a ............ — To be constructed of ...... . ............. land of foundation .................. ._ _..............._..... .......-. Roof Covering... ement - tile Estimated Total cost of improvements $690. 00 ...........Amount of Permit Zonecubage required..... .--------- ----..................... ...._..._.........-•-•-----•----..Plan Cubage...................... ._........................._—..... ........... ....... _ Distance -to next nearest building.... ......... ............................. _........ _..... Size of Building Lot ...................... _..... — .......... _.... . ..... ... .......... ...-.-.. \fax : sm live load to be bome by each floor............................................................................................................................... . ....... ............ I hereby submit all the plans rind specifications for said building. All notices with reference to the building and its construction may besent to.. .................. ...................._. ........... e i,tsrirrsicr,cd i►pplicant fair this Kidding perinit does hereby crrtify iliat he understands and accepts his obligations as an riiiployer of 1.v_jr under the Hands Workn►cn•s Compensanun Act, being Section 506G Compiled General Laws of Florida. Perin:snrnt SigTlrnient, anti ii.ts complied «ith the ijuuvi+ions therrof, and will require similar compliance from all contractors or sub -contractors employed by him in tl:c work- to be performed nndcr this permit; and will post or cause to be posted for inspection on the site of the ark such public notice or notices as are required by the Act. The undersigned agrees to employ only such subt�antractors, on work t rformr under this permit, as are licensed by Miami Shores Village. %1 STATE OF FLOI:IDA, 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 Ise has carefully read the foregoing application, and that he did sign, the same, and that all fads therein by him statteed(]ar true. Permit No._- �r� � � Date.... � �? .... Read, Sworn to and Subscribed before ate. Disapproved..; �. 1 .J.......... Date .--........ - ......... —... ........................ ........ ........................ .� Notary Public, State of Florida ( Signed) ...._.._._..... ....,......._» .......... My Commission Expires......._.-.-.--._. Building Inspector ""'-"""-"""'-""--'_—"—' PLANNING BOARD.. ..................... ... ................ -..- _..DATE Chairman...... --- _...._---- _-------- Member ....... ........................ -.-....-•................--........._...-..._--..-..------.- \furr,bcz -- Mcmbcr -------- ---------------------------------------- _--- -------------- ----------------------- - Member.. Member ---- --_-----..--••------- ----..---_------------ —------------------------ —--- ----- CotincilApproved .............. ................................... _...................... Date Disapproved ...... _..................... ...... .................... ................ Date NOTE: ', charge of $1.00 will be made for making corrections or changes to this application niter approval has been obtained froin the H.tru,ir , llu.trd. A re-in•prt Lion fee of SI.00 will be charged when such re -inspection ill made necessary by Improper notice for inspection or faulty materials andlor workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA Date -- ELECTRICAL ❑ PLUMBING ❑ PERMIT Np 10007 Contractor's ROOFING i License No. -'4., G ❑ Work to be performed under this Permit -- Owner of Building Architect Contractor or Builder A, Legal Description Address of Building Bi. Subdi- vision — Sq. Ft. — Value of Project Amount of Permit $ .2 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 applica- tion 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 plaits or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed �� �J t� r r�s} (INSPECTOR) BV In consideration of the issuance to me of this Permi agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans rawings, 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. CONTRACTOR or BUILDER BY AUTHORITY CK MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 ropy of approved plans and specifications must be kept at building during progress of the work. Date--------- May_ _14_th -- ----- 196g Owner's Name and Address__- C . B . Sither _- _ _ -------- No,__253 ... . -_ __. Street- -.- E . 92nd Regi9tered Architect and/or Engineer--- ----------------- - -- -- - --- ----- Name and address of licensed contractorLatlg_Roofing__& Tile --- _o_,.,_- Inc_.___573--- N. __hi___71st_$t,3�Lia!ni_,__k'1a.3315� Location and legal description of lot to be built on: Lot-- ---------- _ _ . _.__ -- Block -.... Subdivision --------------- µ __...........-._.._.------- - ..�. ..�.._.._._.__.... 253 N.E.-------92ricl__St eet - - - - Street and Number where work is to be done_______ - We are to tear___off e -a ir-_raof___o el"__ x-age_____________ State work to be done and purpose of building (by floors)__ ________________________ _ _ _____ _ � � tin cap_ 1-30(_ felt ---to_ sheathing, mop_ 2 1-fe-lts--Frith---hot---a s-phaltr---and----over--with--a --- layer' of _pea grayel__embedded- into_ hot -_poured -asphalt_ ___ _ _ ____________________________________________________ and for no other purpose. New Building----- ------------------- Remodeling-------- --__ --- Addition.--.-.._...-_ _ -- - Repairs__ -Be-__r_oof --- No. of Stories_- ------------ _ _-- To be constructed of---- Kind of foundation__-______________________._________________________-- ____-- Roof Covering___ Gr---- - ------ ------ ----- Estimated Total cost of improvements $----- 35Q_.._0__0----------- -- -------------Amount of Permit $5— Q •.—..--_..__... .-•---............. .......... r.-.. Zonecubage required ---------------------- - ----------------- --------- -------------Plan Cubage---- - -------------------------------------- Distance to next nearest building___ ___ _________ _______Size of Building Lot_____ ___________ Maximum live load to be home by each floor___ -- --------------- -- - - - --- — ---- I I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may be sent to--- _ The undersigned applicant for this building permit dot 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 inspect -son on site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only su bcontractors, work to be performed un er this permit, as are licensed by Miami Shores Village. Remarks...___... -i0 3s. (signed STATE OF FLORIDA, t ss. COUNTY OF DADE. J Before me, lil- undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- pearedr_ - _ __ —..._ ._-- - - ------ ---- ----- -- - - ----- -------- -............ - - ------ - - --- -------- ............... .-------- -- - ---- -.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 slated are true. Permit No.-../, a U - Date.__.6__7 Read, Sworn to and Subscribed before me. Disapproved Date_. _., _ _. - ----- - _.-._--- -••• -- . ------ ------- Notary Public, State of Florida ( Signed) ---- d`r -. .... Building In ctor My Commission Expires__ __ ___ _____ PLANNING BOARD__ __ . ____ ___ _____ __ ______ _____DATE Chairman Member . - ..__------------- -- - ---- - .;-- --- - _._ --- -- -- Member --- - Member -----_.._._ - - ----------------- Member — - Member . _ _ . - .._ �_ . _ . __ _ W _ .....-.---- ------------------- - 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.