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BUILDING PERMITApplication 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: STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date. , 19 Z.Z. No. fa. s f Lot Block Subdivision Street and Nurnber where work is to be done 7 0 State work to be done and purpose of building (by floors) ..... Read, Sworn to and Subscribed before me. Disapproved ate.. (Signed) ' Notary Public, State of Florida Building pector My - C47 - thimission Expires /63 . It:, . t • .!.. . • ... . and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Coveripg. 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 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 arc required by the Act. The undersigned agrees to employ only such su • tra ors, on ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) jti_/12140/e/Vir:sk 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._ - 21 Date 7 to me well known, PLA INC BOARD DATE Chairman Member NIcrnber 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 fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workinanship. 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 ` tie 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. t Date •.. a? 19y b. ` Owner's Name and Address - ______ k r i" IV/1 _ No Street__! / �� / %" - sa ff. P /7 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 building (by floors) and for no other purpose. New Building ,t _ Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation ___ Roof Cove ring Estimated Total cost of improvements $ Amount of Pe it $ 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 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. (Signe Disapproved Date (Signed) Building Inspector PLANNING BOARD — Chairman _ Member Member ! 'x.� Council Approved BUILDING INSPECTION DEPARTMENT , _ t DATE Date Disapproved STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a nary public, duly-authorized to &minister oaths and take acknowledgments, personally ap- peared ` e. 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 4..--) _ I ` Date / f f Read, Sw n to and Subscribed before me. l Member Member Member - _} 11 t- 0 - r `G :;,rte t Large. N y Public, Stat' ef+ ve a x � !1. My Commission Expires f 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. • • tf r �? ' /0 & F1,9 6, c C i i i`' / 0 /; • 13 9 n.. : V J. STATE OF FLORIDA) COUNTY OF DADE ) SS dLo.eZT I , 2. AV of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Section B -368, Sub - section (d), of the Building Code of Miami Shores Village he desires to build a ✓l N6LE- //Y4% j , kW.6 on Lot 03 /I Block 3 of Ie 44/29L subdivision, that he is the owner of said property, and will be the owner of said 4 .5/"E/YCE , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: -- 1. File plans and specifications and obtain approval of Village Planning Board and of the Building Inspector. 2. Apply for and secure a permit. 3. Pay the requires' fees, for license and for permit. 4. Execute the work in accordance with the provisions of the Zoning, Building, Plumbing and Electrical Codes of Miami Shores Village. 5•. Apply for inspections. 6. File with the Building Inspector certificates that pro- vision has been made to carry the necessary Workman's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "Contractor ". 10. Execute Builder's Bond. And further this Deponent says not. 1 . SUBSCRIBED AND SWORN TO BEFORE ME this day of A.D., 19 2. 1. Signature of Applicant 2. Signature of Officer administering oath. MIAMI SHORES VILLAGE, FLA. No 5886 JOB i� � "_�" � �� ` INSPECTION c,,/ TIME READY - ' (r' c/ - t REMARKS : ADDRESS 0` OY ,4 INSPECTOR DATE BY Architect :lontractor Builder • 7 egal Lot j BL =ascription Address of ,.uilding This permit granted to the 411 . : I o r • named above to cons t1te. or to install the tot motion herefor in strict compliance ; • ' all s thereto and with that k —l may ha� the wor b een submitted to and by the authorities. � dr statements or _ � - u�e'v en � that ma have abc �� any time if the work is not done la compliance with such ordinances or if the pism A farther mit is granted is the understanding that the contractor or builder named above :Y zee ,tlations pertaining to the work covered hereby whether shown on the plans —laity for work done by his agents, servants or employees. UILQING ECTRICAL - LUMBING Owner of Building CONTR4Cf OR BUILDER MIAMI SHORES VILLAGE, FLORIDA FERM1T N9 5102 Work to be performed under this P DATE Licease Contractor's By In consideration of the issuance to me of this permit I agree to perform the work . ""' •compliance with all iertaining thereto and in strict conformity with the plans, drawings, its or, to the pauper A accepting this permit assume responsibility for all work done by either myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Lot fr/ Work to be performed Owner of Building L 7/ Bl. Address of +►. 421. Value of Amt. of 0 f Building / Proje 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 appli- cation 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 knowled e of the or ances and regulations pertaining to the work covered hereby whether shown on the plans or ings or . the statements or specifications at he as nes respon- sibility for work done by his agents, servants or employees. ". r► ` � , Signed. � By INS CTOR 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 1 pertaining thereto and in strict conformity with the plans, drawings, 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. ACTOR OR BUILDS MIAMI SHO - RES VILLAGE, FLORIDA PERMIT N? 5379 under this Permit Subdi- vision ri : t.r DATE Contractor's License No. 674- 1947_ AUTHORITY 4. BUILDING ELECTRICAL PLUMBING Owner of 1 Building Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DATE 11 I 7/ 194/ Contractor's / S' S License No. I Work to be performed under this Permit £ wZ • (.t• --yl t . f j ri PERMIT N° ▪ 5102 Architect Contractor or Builder t -- YN- 4 •∎ "b•-. •'-�— Bl. • Subdi- vision Val Address of Building This perm is grante to the contract or builder named above to construct the ding or to install the equipment or d vice described in the appli- cation herefor in strict compliance with all dinances pertaining thereto and with the u derstanding 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 ar• changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as es t spo 1.ilit •r a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plan .ecifications and that he assumes respon- sibility for work done by his agents, servants or employees. /7,11k-2714,6377 Signed: - By q e " 'ECT ct BY Amt. of Permit • In consideration of the issuance to me of this permit I agree to perform the work cove • . here • er in compliance with all ordinances and - egulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificai submitted to the proper autlap es of Mia i Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. 71. ra 4 . ) 7 i CONTRA OR BUILDER AUTHORITY 4/... 01011110 11 . 1110110.■ /9a JILDING ECTRICAL UMBING 'caner of lding antractor Builder ; mcription Work to be performed riaed . chitect Lot G` tT i.. $• iii: MIAMI SHORES`+o<ILLAGE, FLORIDA DATE PERMIT N? 5379 under this Permit tr./ BL Subdi- vision Signed: $;,• Contractor's License No. °dress of Value of Amt, of Aiding I `. Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device -don herefor in strict compliance with. all ordinances pe . thereto and with the understanding that the work win be performed iga ; drawings, statements or specifications that may vaFi e been submitted to and approved by the proper municipal authorities. This any time if the work is not done in compliance with such ordinances or if the plans are changed wi authorization. A further =,iiit is granted is the understanding that the contractor or builder named above assumes the '., : fora know ulatieas pertaining to the work covered hereby whether shown on the plans or gs or in is or tions Witty for work done by his agents, servants or employees. i$ B In consideration of the issuance to me of this permit I agree to perform the work covered ' • • in compliance with all ordinances ';'twining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami accepting this permit I assume r -: bility for all work done by either myself, my agent, servant or em loyee. aai 4:01 Lot - Block 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 prpgress of the work, fl Name and address of licensed contractor Location and legal description of lot to be built on: Subdivision Street and Number where work is to be done 7c)0 nE . .� .� t+ > Date..._........._......:__.._ .�.__._............___......... ,19.. _ Owner's Name and Address — No ' " Street...._ _ Registered Architect and /or Engineer ,_ .....,,,...<..,,.,. State work to be done and purpose of building (by floors) Permit No... Disapproved (Signed) •..�, - , , .,i.t e Building Inspector Chairman Member Member .. ... Council Approved NOTE: A charge of $1.00 will be made for making correction the Planning ]bard. A re- inspection fee of $1.00 will be charged materials and /or workmanship. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Cooyeying Estimated Total cost of improvements $ r '' Amount of Permit $. Zone cubage required _Plan Cubage Distance to next nearest building. Size of Building Lot Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Notary Public, State of Florida Commission Expires Member Member Member Date Disapproved s or changes to this application after approval ha 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 ::s 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- stsbcontragtors, on..,work to be performed under this permit, as are licensed by Miami Shores Village. =r' Remarks (Signed).. �.. 4 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 are true. ` 4 16-° 7 Date Date .._. Date s been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty ADDRESS 2 c .,1r Rl F 3 i .Albert 8 it371 '` � )6 '`vet Id PAID BY e � 0 LEGAL YEAR /Ts 4 '211t: a Portal RECORD GARBAGE TAX ANNUAL TAX PERIOD USED AMOUNT PAID /2.. -/Z/5/ `> /7 y• a? 5 el f / 1-2 ,r /2 = 1a -3/-s/ -.$)- / 8 - DATE PAID ; %j RECEIPT NUMBER i-S=sb /3Tos OWNER'S NAME d<r,�r, It .OB LOCATION (ST. OR AVE.) GENERAL CONTRACTOR 6 _ HUIL DING.fERMIT NO. X NEW CONSTRUCTION REPAIRS ALTERATION ADDITION .57oz r #T ZONE Z. REQUIREMENTS_ DQ CU. FT. DATE APPROVED REJECTED ii l 1 -RESENT ADDRESS LICENSE NO. PHONE NO. 276/ .›./e, 7 LOT BLOCK SUBDIVISION .E.c /,Ti9G 101 ADDRESS .1aJ /E Y/7 PERMIT FEE S DRAWINGS.. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: Ea/4) TYPE STORIES ROOF CONSTRUCTION PLAN CUBE /4:: CU. FT. EST. COST Si/0e DESCR IPTION �a 2 drAP441-y r464-AV. '4 /14N -.3G2 .ec,q /As _ P,�1S -.5 Ap9/5 -.Z G.C4j,,24 , DESCRIPTION REFERRED TO COUNCIL SUBMITTED TO PLANNING BOARD RE-SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. BUILDING E M SHORES VILLAGE REMARKS 48 -a'91 INTERIOR CONSTRUC I T/cEFtooe o ec/Y E.c /YE Wool) ' srwy . REASONS /2O ��/ ISSUED f )€/ '� By ✓. TO I 4er `L•AalY NG PERMIT AND I SP CTION RECORD -MIA /EMI. SHORES NO. LICENSE NO. BUILDER'S BOND NO. (/ DATE )7 ?:/ 00o _. DATE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 1 f 5 FEE TEMPORARY SERVICE BEAMS & LINE LS SEPTIC TANK IJL x GAV.4 �� ���,� A $B �0 SEWER FRAMING // 1' /4 i SOLAR HEATER J> f j' £ 7 A' ,n .73-074* $ -a GAS ✓ S FINAL; gy /- 4'J .,J 4 "I' RE- INSPECT BY RE- INSPECT BY CLEAN -UP C O N T R A C T O R S i t 9 I V ( 4 / 1 / I a PHONE Al i �� II ,/, / � PERMIT NO. O]J�eT / ^,� DATE r°t►. 3//'+'� FEE $ ,s s 2 NEW BLDG. 7. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK IJL x GAV.4 .5.. ��jj � ���,� A $B �0 SEWER I�� $ SOLAR HEATER J> f j' £ 7 A' ,n .73-074* $ -a GAS ✓ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ∎/ EGd.3 GAS SEWER SEPTIC TANK ///''' S/, 4/7 `,', $ .ca SOLAR HEATER / 7�'s FIXTURES /� �"63� r4 7 LECT�CAU PERMITS & INSPECTION CONTRACTOR H ONE 7'•S1 PERMIT NO. a DATE .340 77 NEW BLDG. X ( ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERV I Cskew c...3 An W/ spa H. W. HEATER CONN. S RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 0/ Z' 4 !, D ROUGHING �R /4 // H. W. HEATER CONN. j RANGE CONN. FIXTURES & FINAL q Z 4 7 fl✓J BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE ,?./ 7 BY f.4Ay So 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 4opy of approved plans and specifications must be kept at building during progress of the work. / + Owner's Name and Address —�_� :_ L %'" No _____ ________ Street______ Registered Architect and /or Engineer_ Name and address of licensed contractor Location and legal description of lot to be built on: Lot_ Street and Number where work is to be done State work to be done and purpose of building (by floors) __and for no other purpose. New Building_____________ __ Remodeling________________ Addition Repairs No. of Stories_______________ To be constructed of. APPLICATION FOR BUILDING PERMIT Block_____ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Subdivision Kind of foundation Roof £uvering__ 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 be 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 costractors 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 oa the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontrdctors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. 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 ` Date Read, Sworn to and Subscribed before me. Disapproved (Signed) _. Date_ Building Inspector My Commission Expires_ • < ► Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved • Date_ l9_ 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 or faulty materials and/or workmanship.