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1140 NE 91 Terr (7)MIAMI SHORES VILLAGE // 3 -1/5 of °d73D ¶ APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ur ine plans and specifications herewith submitted for the build • inc 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 progreu of the work. BUILDING INSPECTION DEPARTMENT January 19 84 Date......_....__.....__ _ ..._ _._...._ Owner's Name and Address BILL WALSH ` . _ No.1140 NE __ . sow _21st Terrace Registered Architect and /or Engineer ,,,, ,,,,,, , ,,,,, ,,„,W „ ..... Name and address of licensed contractor ANDREWS ROOFING & IMP CO 4300 E llth Avenue Hialeah, Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building tin cap 1-#30 mop on 1 - #30 26 gauge galvanized metal to New Building Remodeling To be constructed of Kind of foundation Roof Covering...0 n-t...-tile... Estimate Total cost of improvements $ $5660.00 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. John R. Aandrews, Andrews Roofing & Imp Co 4300 E 11th Avenue,. Hialeah The undersigned applicant for this building permit dots 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 s nth the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed tender this permit; and will post or cause to be posted or ins ection on the site of he w. rk such public notice or noticcs as are required by the Act. The undersigned agrees to employ only such sta. 'tractor o war r• be ` rformed under this pcnnit, as are licensed by Miami Shores Village. 1 r / r Remarks (Signed) / / /. A $ STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved ' \�....� ` Date.. (Signed) wilding Inspector 1140 NE 91st Terrace, _ Miami Shores (by floors) RE -ROOF HOUSE COMPLETELY... ,e,Eove present tile roof mop on 1 - #90 slate. Apply Flat Tile. Replace wood as necessary Le used on edges. and for no other purpose. Addition Repairs No. of Stories Subdivision 20.00 FL 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 care ully read the foregoing application, and that he did sign the same, and that all facts therein by him stated e true. Permit No Date 1 t Read, Sworn to and Subscribed before me. 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 I'Lmnir. Board. A re inspection fce of 51.00 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 Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uindc 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 nII 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. .... „.__..... „.. ,19..8 2 Owner's Name and Address . ttX . . ...__.. „. Registered Architect and /or Engineer .,:,,......<....,, •,.,.,,n:. » ,,• ............ Name and address of licensed contractor Gambill Roofing Repair Co.".. 94.30 N}tf, 2nd Place M, Location and legal description of lot to be built on: Lot Block Subdivision ._ ._..._� ...._ Street and Number where work is to be done 140 N. E. 91 Terrace State work to be done and purpose of building (by floors)...__3tls...ar.e..._t o...r e.._ti.Le ep.air ..ie.aks.„andse- place new tiles in repaired area. .__ and for no other purpose. New Bui!ding Remodeling Addition Repairs X No. of Stories One _ To be constructed of Kind of foundation Roof Covering Cement Estimate Total cost of improvements $ 79.5..0Q Amount of Permit & .2.Q..QQ 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 NVorkinen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perforate under this permit; and will post or cause to be posted for inspy tion on the site of the wo _ such public notice or noticcs as are required by the Act. The undersigned agrees to employ only such subcopEractors, on work to formed under this permit. as are licensed by Miami Shores Village. Remarks (Signe STATE OF FLORIDA, COUNTY OF DADE. j ss. Bcfore 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.. No.....S..s.J. .A , Date ` >') l ?'” Read, Sworn to and Subscribed before me. Disapproved �V , �,,� r r 1� \A, Notary Public, State of Florida ( Signed) cc- My Commiuion Expires _. „.„ . „.._... PLANNING BOARD DATE . Chairman Member _ ......... -- Member Member Stember .. .. _....._......_..._. ......_ 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 1'1. nnir,g Board. A re- in.pe•etion 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.