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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. ���� Date Owners Name and Address .( _:�i.? Registered Architect and /or Engineer.. Name and address of licensed contractor a t t t ft . =..0`'d Location and legal description of lot to be built on: LotS /J 1 / Block y/ Street and Number where work is to be done To be constructed of 1 _..r.__` i... Kind of found n Estimated Total cost of improvements $ Zone cubage required .Z® Distance to next nearest building Maximum live load to be borne by each floor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Subdivision c if State ciork to be done and purpose of building (by floors) Q •• 6 2 00 et No. , 19 Street d - - - -- and for no other purpose. New Building Remodeling Addjtion Repairs No. of Stories _...../> ............. Roof �o ringer ] .E A. t A f " : Amount of Permit plan Cubage t'__.. 1 _Size of Building Lot 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 Y � . . .. � � . ... _> .- , „ ; / � y K ,�. � � _ .1 "° .. The undersigned applicant for this building permit dtaes 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 ,,oticas as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this perLL t, as are licensed by Miami Shores Village. 3, Remarks ( Signed) ' L STATE OF FLORIDA, COUNTY OF DADE. 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 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 6 _ `- Cq . 1 ° 4 e - = Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Buildinf'Inspector My Commission Expires to me well known, 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. Chairman Member Member MIAMI SHORE ILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uinde 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 budding during progress of the work. Date. .... L�..... _.. _...._ ,19./2:_ Owners Name and Address d. No a '' ' ` _.. Street -_... '_ 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)...__' 1) Member Member Memnb:.r i,, PLAD4NINC BOARD DATE and for no other ptu,xise. New Building Remodeling Addition Repairs; No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permq 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 construct or. r iay be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an eal9loyer 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- co,'tractors employ:d 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 pennit, as are licensed by Miami Shores Village. �,. Remarks..._ (Signed). • - -- STATE OF FLORIDA, COUNTY OF DADE. 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 at facts therein by him skated are jauen Permit No._..____ ____.� Date ! �� ( L Read, Sworn to rnd Subscribed before me. Disapproved _... Date. ___._f. (Signed) �, ,: Notary Public, State of Florida !� B uilding nspcctor �, My Commission Expires 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 nbta?nst from the Planning Board. A re- inspection fee of $1.00 will be charged when such re - inspection is made nemasary by Improper notice for irr o+' faalty 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 , ; � -- . , 19 Owner's Name and Address._..._..' � :�'�;:Ja ^� No Street Registered Architect and /or Engineer Name and address of licensed contractor Is Location and legal description of lot to be built on: Lot Block Subdivision Street anal. Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. Nev Building Remodeling Addition Repairs No. of Stories To bo constructed of Kind of foundation Roof Covering .guy Estirnaieci 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, Pennanent 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 ublic 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 — – – 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. Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector 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 $1.00 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 Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 PLEASE PRINT DATE: M41 36, ZQ O ( TIME: 10'. 20 Rn NAME OF PERSON REQUESTING FILE: 0 \A.1 1. t nit' PHONE #: .qc6 .6C1() YOUR ADDRESS: iVvvier51 . ChedlevIsfve.6i, t7/ ADDRESS OF FILE REQUESTED: -i �■ � L 1 5 2 5 INFORMATION REQUESTED: ALL orTS for ,AATecivsol a CAse ZO03 - 03944 I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: INITIAL 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...Dee..._.19 , 19 Owner's Name and Address .... .Dr'....Lee._Hardt No )121.__NZ ..._ Street. 91 Street Registered Architect and /or Engineer Name and address of licensed contractor C0o1 — Reef Inc. of Miami, 14119 Ponce de Leon, Coral Gables Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1125._ 91 Street State work to be done and purpose of building (by floors) C1aan .a d- ..ceat..roof�__reeidential and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $_..3.6040 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 to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Cool,.. _1ooL.I11C,...of. i STATE OF FLORIDA, COUNTY OF DADE. 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. Permit Date Read, Sworn to and Subscribed before me. Disapproved Date_' .� Notary Public, State of Florida (Signed) Building In3pector My Commission Expires PLANNING BOARD DATE Chairman i 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA ❑ DATE 195 ❑ PERMIT N° 6850 Contractor's License No. ❑ Work to be performed under this Permit done by his agents, servants or employees. CONTRACTOR OR BUILDER Bl Subdi- vision Value of 1 Amount of Project $ -- 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 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 whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 , a. Owner's Name and Address roof on ne7 addition. STATE OF FLORIDA, COUNTY OF DADE. ss 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. I rs, Ruth J, Harclt Date..._. .._...... _n c O .1'b C ' 27(1 No.. L.iZ..5 Registered Architect and /or Engineer ....... Name and address of licensed contrtctor.Lan& 1 ?00' e: Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done_ 42 T' laX,. 93..St ati/SOt. State work to be done and purpose of building (by floors) .... n�ta_ —�1 BT U -j Tile CO, s inc 573 .lT•`7• 72 s t Street .. • - jj j7 t-ui as `oha 1t LyrIvel _...� .�. and for no other purpose. New Building Remodeling Addition XX Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ;1. ;:95... n Amount of Permit $.. .5-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 pennit does hereby certify that he understands and accepts his obligations as an em player of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the p thereof, and will require similar compliance from all contractors or sub - tractors employed by him in the work to be performed under this permit; and will post or cause to be posted for insp r i o on the s' of the work such pahlic notice or notices as are required by the Act. The undersigned agrees to employ only such subco, _ rs, on ork o be performers under this • permit, as are licensed by Miami Shores Village. y — H Remarks (Signed) _ �� 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. - 7 Permit No.._._. / Li" Date / Z t Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida Building T ector My Commission Expires BOARD DATE PLA Chainnan Member Member Member Member ...... Member Council Approved Date Disapproved . NOTE: A charge of $1.09 will be made for making corrections or changes to this application after approval has hecn obtrined from the Planning Board. A re- inspection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby made for the approval of the detailed statc„,cnt of tote 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 Nfcarnl Short 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 iluilditg 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 Mrs. Hardt' Registered Architect and /or Engineer . Name and address of licensed contractor Gambi 11 Location and legal description of lot to be built on: Lot .... Block Subdivision Street and Number where work is to be done N, F 91st Stmee. — State work to be done and purpose of building (by floors) Remove file in leak area, i epai +: leak ..area.„ • and for nu o;h pu:pca . New Building Remodeling Addition Repairs ps..... No. of Stories }F _ To be constructed of Kind of foundation Roof Covering...G.CMen, :f• . iti1 . Estimated Total cost of improvements $ 495,00 S. 2.0....00 (Signed) NOTE: A charge of $1.00 will be made for the I'Lutnir. Board. A rc- m•pect,on fee of 51.00 will be charged materials and /or workinanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date..._ Alan/ r wry y No.. 4 2 5 ......._.. Street_N, E. 91st Amount of Permit Zone cubage required .Plan Cubage Distance .to next nearest building Size of Building Lot _ .................. m 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 comtruction may be sent to.. e un,lcricr.cd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of I...ur ur,dcr ;tie Florida Workmen's Compensation Act, being Section 59G6, Compiled General Laws of Florida, 1'ennant•m Snp rleucent, and has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in t: . 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 n.,t,ccs as ar • required by the Act. The undersigned agrees to employ only such subcontractors, on work to -, be perfonned under this pcnnit, as are 'icenscd by Miami Shores Village. Rem. irks... 5t. ..ti.�...1�.I9........8f�;7� ?.1..3.9 Building Inspector Citair.ran \fcrr,ber Mcmbcr _....._......_..._._ .... Council Approved Roofing Repair Co. L .. _ 94Q0 . NW 2nd P1. tiT:l-a.SEtores ,,... 2 ?.....,, •...11,,22,,.,.. STATE OF I- LOI;IDA, COUNTY OF DADE. Ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- pea, ed 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 fads therein by him stated are true.. Permit No s..1- �.. Qyt Disapproved Date ......... Read, Sworn to and Subscribed before me. Date w PLANNING BOARD DATE Mcmbcr Mcmbcr Member Date Disapproved making corrections or changes to to rae well known, Notary Public, State of Florida My Commission Expires ...... Date this application niter approval has been obtained frr.:n when such re- inspection is made necessary by Improper noti a for inspection oe faulty tilt MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Registered Architect and /or Engineer APPLICATION FOR BUILDING PERMIT Application is hereby dude for the al•.proyaI of the detailed statcment ur me 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 ?trarni 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, whcther herein specified of not. A copy of approved plans and specifications must be kept at building during progress of the work. Osvncr's lame and Address ....... JC.S.... aXS� ...... No.... Street_L,. F 9 Lst November 10th ,n 82 Name and address of licensed contractor Gambill lips.fing ,, Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 425 N, E. 2_1 stStreet State work to be done and purpose of building (by floors) General repair on and for no other purpose. New Building Remodeling Addition Repairs Yes No. of Stories..... One _ To be constructed of Kind of foundation Roof Covering....Com.E.mf;...T I.o_..__ Estimate Total cost of improvements $ 1140.00 Amount of Permit & 20 t 00 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 budding perinit dots hereby certify that he understands and accepts his obligations .rs an employer of I.rLur under the Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Penn.ncnt SoPpleurent, and has complied ssith 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 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 subcoptractors, on work to "performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) / STATE OF FLORIDA, COUNTY OF DADE. 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 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.._.. 9 2 ( Date /1 Read, Sworn to and Subscribed before me. Disapproved (Signed) Date Building Inspector PLANNING BOARD DATE Chairman \Icrriber Member �....._......_..._......_ Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the 1'I.rnnir... liu.ird. A rc•nisi . fee of $1.00 will be charged when such re•in-pcctlon ix made materials anti,' ..orkmanship. Notary Public, State of Florida My Commission Expires Member Member Member Disapproved or changes to tote well known, Date this application niter approval has been obtained from necessary by improper notice for inspetiin cr faulty Owner's Name and Address Mrs Hardt MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of me plans and specifications herewith submitted for the build. in or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and n11 provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisinn of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must lx kept at building during progress of the work. Registered Architect and/or Engineer Gambill Roofing Repair Co,..„_91,a(L.N.W...2p..d...111....../ella Name and achlress of licensed contractor Location and legal description of lot to be built on 33150 Lot Block Subdivision Street and Number where work is to be done 425 N......E... 9.1st—Stme.e.t_ _ . State work to be done and purpose of building (by floors) We are to remove tile_in leak area repair roof and replace new cement tile in repsaired azea. and for no other purpose New Building Remockling Addition Repairs Yes No. of Stories 032C — To be constructed of Kind of foundation Roof Covering Cement tile Estimated Total cost of improvements $..5.9.54.010 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, Perinanent Supplement, and has complied ith 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 rk such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcntractors, on wo rformed under this pennit, as are licensed by Miami Shores Village. Remarks (Signe 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 described construction, that he has carefull read the foregoing application, and that he did sign the woe, and that all facts therein by him stated are Permit No. %4 2.-- Date 152',?4 k-P Read, Sworn to and Subscribed before me. Disapproved . ‘\1, Date P Notary Public, State of Florida (Signed) Building Inspector BUILDING INSPECTION DEPARTMENT ia No.4..g5 Street—N. E ...... My Commission Expires — PLANNING BOARD DATE Chainnan Member — Niember 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 hns been obtained from the Plannir.:: Board. A rc.impection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials anti/or workmanship. to me well known, i$5.00 STATE OF FLORIDA, COUNTY OF DADE. ss. 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. 10 -22- E'i Date..._..._......._..... �.._ ._._......_._...._._._...._.... ,1 .._._ Owner's Namc and Address .... Mrs Ruth Hardt _._ . _ No 4 ' 25 ._. Stree .'.E . 91st Street Registered Architect and /or Engineer n... ,, ,,. „, „,_,,,.,•,.,,,,,,ne„ Name and address of licensed contractor Biscayne Roofing Co. 5180 E. 11th Ave. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 425 • E .91st A t r e e t. State work to be done and purpose of building (by floors) Repair shinccle tile roof about and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering shingle tile sq. Estimated Total cost of improvements $ 240 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 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 Snp lemen,, 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 fo 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 s1. •ntractors, on work to be ,performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signe -_ ,c --- --- 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 . ^= ` Date ' 0` .L_ Read, Sworn to and Subscribed before me. to me well known, Disapproved / Date. ._.._....._ Notary Public, State of Florida (Signed) . .:.L Building Inspector 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 hoard. A re- inspection fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Owner's Name and Address Location and legal description of lot to be built on: jh Block // MIAMI SHORES VILLAGE 7 � j ,7 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 Buikfing 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 Buikfing 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-76„de/ Registered Architect and or Engineer Name and address of licensed contractor 2 1/ "t ./(._ //4,,e _ :-! / /1 0 7/ : > T/2 Date "/ . 19 " � No. )' Street 4 ' • 9/ >: / r?? y, Subdivision 2 771 , // ✓ -2 17O / 4 1 Street and Number where work is to be done /" r Q J :3 State work to be done and purpose of building (by floors). state exterior colors (submit samples) AW-4-4—Y gaff �` � � � —(s" b v i 1 /7 and for no other purpose Neu uilding Remodeling Addition Repairs No. of Stories d To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ // fl t i9 e J Amount of Permit $ // '0° 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 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 obligatons 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 tc employ only such gubcontractors. on work to be performed ender 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 appeared to me cell 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 pplication. and that he did sign the same. and that all facts therein by him stated are true. Permit No. 7" 5 3 Date ( v 0 Read. Sworn to and Subscrtbed before me. . Disapprover _ Date (Signed) S6r Notary Public. State of Florida Building Inspector My t:onunission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Daft NOTE_ A charge of 625.00 will be math for making torre;trons or changer tc this application after approval has keen obtained from, tht Planning Roan, A re- ie.spectior, fee of $25.00 will be charged wher. such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship UILDING tECTRICAL LUMBING OOFING, I1itp. 7 - iwner of gilding rchitect ontractor Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3300 ff / ci ogal Lot escription ddress of .� gilding « r Bl DATF ' ' "" 195 ' Contractor's License No Work to be performed under this Permit _ Value of Project $ Subdi- vision Amount of -" _'` Permit $ �•� it This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described fn the application vrefor 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 one by his agents, servants or employees. .7)/ 1 /4 1 414, 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 3rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• assume responsibility for all work done by either , myslf, my anal, servant or ployee. ptinq permit I as , e / � J t CONTRACTOR OR MOLDER / BY AUTHORITY e4441**