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9050 NE 8 AveOwner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. (Signed) MIAMI SHORES VILLAGE Registered Architect and /or Name and address of licensed contractor Street and Number where work is to be done ii State work to be done and purpose of building, (by floors) 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 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 regula- tions 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. Location and legal description of lot to be built on: Y_ __� Block____— ______—__ Subdivision New Building _ Remodeling_Addition_` Repairs No. of Stories_____________ To be constructed of___:� > Kind of foundation___ G _ _____ =___ — ________Roof Estimated Total cost of improvements $__ _ __— Amount of Permit $ Zone cubage required ' Plan Cubage 4 Distance to next nearest building_ ¢'" — ____Size of Building Lot ' � rr Maximum live load to be borne b y each floor_____ — ;__ a/, I hereby submit all the plans and specifications for said building. All notice6' 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 subcontractors, 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 appeared 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.y�f `�_�__ Date Disapproved ____________ Date Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ______________ —___ Member Council Approved_ —_____ Date Disapproved 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. (over) , t 4. _ Street Read, Sworn to and Subscribed before me. __ —and for no other purpose. to me well known, Date LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1 General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. Owner's Name and Address___E? =_ Registered Architect and /or Engineer -4 Name and address of licensed contractor J STATE OF FLORIDA, COUNTY OF DADE. 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 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 regula- tions 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 /, /„ Street' l' Location and legal description of lot to be built on: ` Block__ Subdivision _ _— ___ —__ —_ �� o J Lot_ —�� �'� w�_�_ Street and Number where work is to be done V } - ' /E_ _ ' State work to be done and purpose of buildipg (by floors) -------- - - �� ii - �- ' - -- - -- -- - - -- — ' __and for no other purpose. New Building Remodeling Addition_' _ Repairs_ _____ _______________ No. of Stories . Kind of foundation_ c c' Roof Coverin To be constructed of, ___�,�_� g - - - -- - - - - -- ; -- - - - - -- • Oc- 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_ B - _ — '�...., I hereby submit all the plans and specifications for said building. All noticeA' 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, Permanen_ 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__ ,._ __._ _ Before me, the undersigned uthority a _.tary yic,,duly autho 'zit 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 application, and that he did sign the same, and that all facts therein by him stated are true. /' G�: Permit No— _ —_ __ Date Disapproved (Signed) Council Approved_ Date Building Inspector Date Disapproved Read, Sworn to 4 is A ary Public, Stag of lore My Commission Expires_INJ PLANNING BOARD_ A E�h Chairman �-- �✓� Member �' —� / Memb' Member _y<�ll- Memb cribed fore me 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. (over) LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior), Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise, specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. ' 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials_ for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village.