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9723 NE 2 Ave (3)BUILDING El MIAMI SHORES VILLAGE, FLORIDA �� ELECTRICAL ❑ Date 3 -- PLUMBING ❑ PERMIT Np 8464 ROOFING ❑ �s ` i- ❑ Work to be performed under this Permit Owner of � Building L..- r ! a.. ! C ,.. < ' z' . L. . 4,. t (.... *F- '�� . t! 1 t1 e.' Architect Contractor Co or Builder Legal Lot Description Address of f 1 Building Signed• Subdi- BY Irk __`1 _ L • AUTHORITY Contractor's License No. 104..* 19_4 vision Sq Ft. Value of 11 Amount of Project $ II Permit $ 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 wheer shown the plans or'arawings e `or in the statements or specifications and that he assumes respon- sibility for work done by his agents, ser nts or empl ees. BY In consideration of the issuance to me of this permit I agree to perfo , (he work covered hereunde rip compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statem is or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by eit r, myself, my agent, servant or employee. �� CONTRACTOR or BUILDER 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. i Date 19•� �_ GL; �`r No Street �lr /A Owner's Name and Address , :. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision o Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling Addition To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 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 SuPplenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors en:ployed 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) 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 descri construction, that he has care ully red the foregoing application, and that he did sign the same, and that all facts therein by him s Permit No../....d. Date __ Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT .., It R and for no other purpose. Repairs No. of Stories to me well known, Notary Public, State of Florida 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 81.00 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 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 y/ 2_ 0 , 19 4 Owner's Name and Address ..... _. e. ,l/_e_i- ,/ri!= _ 44.- L_.f y No Street Registered Architect and /or Engineer .._ . . Name and address of licensed contractor.... &"L__._Cr:frt__0 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done e.__ I___ `V' - t .__,. 9 ' 1 4.i / pi-r ,---z . r - �- � State work to be done and purpose of building (by floors) � � -t (-9 — Lei AV 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 $. Amount of Permit $ A 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 perinit 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 2 ( Disapproved (Signed) Notary Public, State of Florida � E°c 2 f P� si; 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-ore true. Permit No ,J Date 791° _. Read, Sworn to and Subscribed before me. uilding Inspector My Commission Expires PLANNING BOARD DATE Chainnan 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. State wor be done an tY.. STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE 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. � (/ eet L ..t�Yt 2 , f Z C / / // Owner's Name and Address /( S -- ®U � � ' _ No ... 'l .. Str Registered Architect and /or Engineer ”.... . ..... ....................... ... ...!, Name and address of licensed contactor _ ... Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done u of buil ing (by floors) 7- > C k 9&.. % •/ !sic ' e .- . and for no other purpose. New ui!ding Remodeling Addition µ Repairs No. of Stories To be constructed of Kind of foundation /./de Covering Estimated Total cost of improvements $ �� d Amount of Permit /. /</ e 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 0/the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suchvs)abcontracto on work to be performed under this pennit, as are licensed by Miami Shores Village. f/ ( ; Remarks (Signet) r �� > � � '' - -" 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, and that all facts therein by him stated a e. /(�� Permit No g01' Dale _.....iIQ.! Read, Sworn to and Subscribed before me. Disapproved i. Date ( Signed) Building Inspector 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. f. g5'. S--17. BUILDING INSPECTION DEPARTMENT to me well known, Notary Public, State of Florida My Commission Expires r •