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1089 NE 91 Terr (5)_ r 2 ; 1 h k•i4i -r-r : P P 1 C AT N "iF r-1 ON („Vd Appliti;utoi) ), Nwiftt for the npproyal of the detailed statement of the plans and specifications herewith submitted for the hniEd. tliorrGeltATnci.V110■14c116,fir34;1."iilile:iver2it:i3OnTIV e sa n Oilr■ r e ' i l )Ce rm s it o Y f he • . speenfiandiena kepq tet building clueing nengroas w ®f th© woes. rel.:0.10*ns of the Building of Miemt Shores Ve.age s ha ll be complied ith, whether heretm Rat Owner's Name end Addiess e,g4S2 ROgg. Regiaered Aechicect and/Or Cngincer NAilld and address of licensed contractor 9 / Location and legal description of lot to be built on Lot .. J•qq? Block / Street and Number where work is to be done New Building To be constructed of Estimated Total cost of i Zone cubage required Distance to next nearest Remarks STATE OF FLORIDA, ,■ COUNTY OF DADE. SS. Building Inspector Signed)... and who, being by rile first duly sworn, upon oath deposes and says that he is the. therein by him suned are Laic. Date of the above described constri.bctinn, that he has carefully re:1 the foregoing application, 9._... (0 9 Permit No. 705 Disapproved .. Date._ ._ — (Signed) g d - ) 7,507 &".... ? .•••■••••••••• • . t orrmrimmrteuttmein ..... tr.•••••• ....................... ::"Zd • C:e7 • •IMBI..••••••••••••••,...11•00•0(...0431...••••••••••..110..../......01.1.00.••••••n•................. State wor& to be done and purpose of building (by floors), C - ti.e:10 ri CM/ co- b v psiii/,12.i.i7:: - 0 Ai 4.10 •••• B emodclihg 1diton Repairs. Maximum live load to be borne by each floor Read, Sworn to and Subscribed lido Notary Public, State of F/oriala My Commission Epee rimr aorr.o...1a0a.araro ozd for no other No. of Stotles ...... Kind of foundation.... a Roof Covering mproventents /2 6 C Amount of Permit 6. i•a2. ei-e) 54firEes. tee rar ..... rr. Cubage building .......... ••••■•••••••9 1.1.• ibee• SiZO of Building Lot •■■•••■•• ..... ...... •••••• •••••• ........ 011.6•••••••••%. be sent to 1. hereby submit all the plans and specifications for saidbuilding. All notices with reference to the building and its construction may .. ....... ....... .... The undersigned applicant for this buildi per does hereb certify that he understands and accepts his obligations as an employer of labor under the Florida ‘Yorkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sopplentent, and has complied with the provision thereof, and will r ,,Lire similar compliance from all contractors or sutecontrnetors employed by him in the work to be perfomer, under this permit; and will post or cause to be posed for inspection an the site of the Wt: 1.tdelb t)UYie notie pennit, as are harmed by Miami Shores Village. or notices as are required by the Act. Th undersigned agrees to employ only such subcontreckoes, on work ......., Bef,..a me, the undersigned authority, a notary public, duly authorized to administer o.thc and talie acknowledgments, . ..... no wcil ............. and end he did aign the ae..v.ea, catd a.S211 C..■•• PLANNING BOARD Chairman — .DATE — Member Member Member — — -- •.. ..•• eellsli.• •••• .. maw. .01.a. ... Noe......007..... ........ 0 .......... Member :0 - . Member . Council Approved — Date DiStrpygtn,,i...i ...... — ...... ......—..... ............................. ........ . nnCe the Plannmg Huard. NOTE: A charge of $1.00 will b mod© for ma'Aing corrections or changes tlo his applienticro after approval has !tern nbletinet1 koni materials eno/or workmanship. A re-inspeution fee of 51.00 wit! be cherged ciAetrn seet n)-600pectivent Is mad° accessory by Impseger nozice for insonieinin e., L.,.1.... UILDING LECTRICAL LUMBING OOFTNG wrier of ?ilding A . rchitect _ =retractor = Builder t =gal cscription Lot ddress of gilding CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N? 7511 BI. Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project S DATE J 2 195 Contractor's License No. Amt. of 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 application -refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ne 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations rtaining 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 me by his agents, servants or employees. 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 ordinances and regulations rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 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. 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 Street and Number where work is to be done State work to be done and purpose, of uilding (by fl s) perms , as are y Miami ores t licensed b M Sh Village. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved Date (Signed) li Building Inspectdr MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. ate PANNING BOARD DATE ,19 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 $ 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 pennit 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 be performed under this s � d c - Remarks (Signed) � C-Ci 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 1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 1 MIAMI SHORES V LLA6E BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby mnde 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 thc Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of thc 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. Owner's Name and Address PT........®...... Location and legal description of lot to be built on: Lot Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved (Signed) Block Subdivision Date.. Building Inspector Chairman Member ._ Member .. ... _.._._....._ -._....._ Council Approved Date PL INC BOARD DATE Registered Architect and /or Engineer , , ,,,,,,,,,,,,•,,,,,,., „n, „.„.. q..,,,. Name and address of licensed contractor INC Voeg. S..Ae.E3 4' r9B A? -g® A le. � Pf, a ►� State work to be done and purpose of building (by floors).. .__�._ '�....._ ."1 i ® nJ �l . �I. g _. 11F.G .9..... .i` ti A Vero 'i7 L- 4Lc- 45 .Pe Pe,` St ... .. .�:.;Q � ,,� %Cle _ and for no other purpose. New Building Remodeling Addition Repairs; No. of Stories To be constructed of Kind of foundation Roof Covering _... Amount of Permit $,. _. plan Cubage — Size of Building Lot Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building 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 5968, Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or su • -.. , ctors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspect' • e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su• • tra•o, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 are true. Permit No._ L ... ... Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ... Member Member Member ...._ ......__ __......._ Disapproved to me well known, 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 er faulty materials anti /or workmanship.