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BUILDING PERMITMIAMI SHORES VILLAGE, FLORIDA BUILDING PLUMBING o PERMIT N9 ROOFING ❑ .,. Owner of Building Architect Legal Lot Subdi- Description Bl vision CONTRAC9'OR OR BUILDER 6873 Work to be performed under this Permit Contractor or Builder . , DATE ,. 7 1 = � " � 19 Contractor's . License No. 1; { Address of Value of I Amount of ; �,'"-- -•' Building 4 ( J c $— II 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. ._ .. y / Signed ` -1f f , � ...a. -. t ,. ifNSPEGTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all rdinances gulatfons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of iami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY All Date Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address Contracting Co. Qualifier State # ` , a ;; Signature of o PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address `. :� a r = , Tax Folio t , _ . , ' Municipal # , Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL , PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. O % , Estimated Cost (value) = f' © 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 1 and/or Condo President Date N tary to Owner a> r Con o President Date My ommission Expires:- .. • -.._ . t)1002) - -'rw11/Y.:%�l1»1111�1�ro�'` 1NA • r.1 " fl + otuzeLmort *4T - MW1QN ` €4. • 66/9N v sands ao!ssimm o3 dyq , u w :.080Qb 33 IN tw!slmul03 a s , Y' RpFm1310 uses `ogend ttetoN „ 12 1 3 1a3' f esaial � �► "�a i� �.a'�1: »> »111) »1�11�»�211Y�►:��►:�+'s� FEES: PERMIT • .RADON Master Permit # ■ j " ; . Phone • C.C.F. SS# Competency # Address Sign Address ,otary as to My Commi ' sion Phone e of Contrac t on r or Owner - Builde • OFk1C1AL NOIARY SEAL OF FLORIDA NOTARY O N STATE O CQ141Q3 MY COMMISSION EXP.MAR. t It': � or Date t � x ra Ins. Co. 4 13 7 _v, /a -,212 Date /• a-0 NOTARY 5 BOND 3 °C) TOTAL DUE 3 Ili a- APPROVED: Zoning Building Ele cal Mechanical Plumbing Engineering Disapproved (Signed) ` � 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 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. BUILDING INSPECTION DEPARTMENT Owner's Name and Address Registered Architect and /or Engineer ''�l� � Name and address of licensed contractor____(�s"�"" -- Location and legal description of lot to be built on: Lot Block Subdivision and Number where work is to be done Date Building Inspe 1 Date 7-/ 19 6)t No >C Street _• 7.l �T State work to be done and p ose ofbttilding (by floors)_ ��(( tiro 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 $___ /SO m G 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on ' ork 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. _Z___ Date 2 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 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. 9/ <f,da...;f mat P -17 Owner's Name and Address Registered Architect and /or Engineer_____ /� / Name and address of licensed contractor__ 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 J b t > F N C S E3 vs,/ y No Street_ NE _ Q _S T e.L.p ( a « 6 Location and legal description of lot to be built on: W.0-ct ' . q - Lot Block_ L Subdivision f -k. 6 ' ^ '* -- "" Street and Number where work is to be done .S D N C 9 / / a to l t I tr' 'State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. ss. Dis ro ( igned g Ins S 3 30 Notary Public, State of Florida ission Expires , 19 re) and for no other purpose. New Building ✓" Remodeling Addition Repairs No. of Stories___lt_ " -- To be constructed of es Kind of foundation C.' .e e � � f V Cove: I 4 _ Estimated Total cost of improvements $________Z.i_ 6.6 �_ a Zone cubage required /f__14- _________Plan Cubage Distance to next nearest building a -__ 0 ' _ r' _____Siz9 of Building Lot 7-r k / 3 S `_ _ 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 � 4e; ,••••• iII r .� C Z ? A/ C 9 '1s 4 aloe . , 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 osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ y sucli 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 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 abo e described con truction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by im stated are e. Permit N _ __ __ Date Read, Sworn to and Subscribed before me. PLA ING BOARD__ DATE Cl�jrh�a: Mein er Member Me ber MemberM mber ______________ ------ _________ - -- - -- - ---- - - - --- - — — - - — Council Approved Date I isapproved _ - Date NOTE: A charge of $1.00 will be made for making corrections • 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. ey., • w 72_ 6 (si E,5 024' S "%" =- g •, 5" � 0 2 3 / a 4 " 3. 3A, /.67 / 305 4 / = S.7 .4A. cu-ece, 1 464u at, C)-Itacz) -4 aS`16 4- .sfc — �..u i" 2_2..(0, a ,1 /5 _, 34/,8 34 r o / a3 0 5; s L-2 7:9) 41 4 BUILDING ELECTRICAL PLUMBING ROO G Owner of Building Architect Contractor or Builder - f.'eA ari- 0 Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DATE. 1•/-1.1 19 PERMIT N9 5449 • Work to be performed under this Permi �+= -4""°' Bl Contractor's License No ee Subdi- vision Address of ' Value of Amount of Building .5-, , ›./ Project $ ,. ). 4 1I Permit $ - =.". 5 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed `�' J . :- _ �s . _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compli• 3 r. _ with • i '!ces 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 as cepting this permit I assume rejponsibility for all work done by eitlfer, myself, my agen sery e. or employee. CONTRA R OR BUILDER Lt~ AUTHORITY AS Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Disapproved (Signed) Chairman Member Member ...... 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. Owner's Name and Address . ..... ditli-falbet4 Date Date ... CJW.41 No........ Street.g.. / 5 Ct:t.. 4tt••• }••tt!!1t! tt. Lot Block Subdivision .l. Al I/. Street and Number where work is to be done . O_....L..! _ -te / G. .. (54.L _ St149.Aorki.o be done and purpose of building (by floors )... -._ / C/ 1 ZT 6 _. � —_..� . s � :.1 r r .i�14- - - 6-. l Z , r43W ..._.. //a' A -II . ,� and for no other purpose. New Building / Remodeling ddition !' Repairs No. of Stories p /._...... To be constructed of Kind of foundation Roof Covering ....s.�' V.I7gt•SI .L_ K Estimated Total cost of improvements $ � Amount of Permit S.. 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 • he site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such ntracto • on ork perfo ed under this permit, 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 all facts therein by him stated arrttrue. d, Sworn to and Subscribed before me. Permit No. Date Notary Public, State of Florida Inspector / Commission Expires PLANN$1C BOARD _.._......DATE Member Member Member Council Approved Date Disapproved ............... ..... Date has been obtained from NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval 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. 1023 1245 50PAID BY Coo w. YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER J.. C'.. BROWN (owner) 1950 $12.00 12 -31.50 $1.00 12 -9 -50 15391 1951 " 12-31-51 $12.00 12-9-50 1 5391 •glX e - e 7,9- /� —` / J / – S , / / / -r-,c/ /y7 V • ADDRESS 5Q 9t Street LEGAL W 5&6 31.9 Elporta]Sect. RECORD GARBAGE TAX � 4 .. `l OWNER'S NAME D ROWN, JOHIJ C. I PRESENT ADDRESS - b29 N. E. 92nd Street LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 50 N. E. 91st Street LOT Wi 5 & 6 BLOCK 9 SUBDIVISION El Portal Sect. 03 GENERAL CONTRACTOR James G. Reeder ADDRESS 8637 N. E. 1st Avenue PHONE NO. 89 -2830 LICENSE NO. 3 F UILDING PERMIT NO. 9686 DATE 7119130 PERMIT FEE $ 13•00 BUILDER BOND NO. 1456 DATE 7/19/50 r N INi ONE PEQUIREMENTS 17.500 CU. FT. PLAN CUBE 17.657 CU. FT. EST. COST S 9.000.00 .�QRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: nil DATE 7/6/50 X NEW CONSTRUCTION TYPE CBS STORIES 1 I ROOF CONSTRUCTION I Tile INTERIOR CONSTRUCTION Oak Floors - Plaster Walla REPAIRS DESCR IPTION Ltv Rm - Enc. Porch - Kit w/Util. Am - 2 Bed Rms - 2 Baths - 1 car att. ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS Y RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS 102 I CERTIFICATE OF OCCUPANCY NO. 3 1 2 -15_5) ISSUED JDH BY JOHN C BROWN . TO • BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE gg INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 8/2/50 PG FEE TEMPORARY SERVICE 8/21/50 $ 1.00 BEAMS & LINTELS 9/28/50 � JLH 8/14/50 $ 1.00 SEWER FRAMING L0 /3/50 PG $ $ GAS £.s. -A t �j ii"Aa I = 0 pl ., 1 $ INSPECTIONS 'FINAL 1.2-/i I -o r n q RE- INSPECT BY RE- INSPECT BY CLEAN -UP CONTRACTOR PHONE PERMIT NO. I DATE FEE S NEW BLDG. 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 8/21/50 $ 1.00 $ SEPTIC TANK Acme 9863 8/14/50 $ 1.00 SEWER $ $ SOLAR HEATER $ $ GAS / / /� $ $ ., 1 $ INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING . 1 1 i ROUGHING ' GAS PG H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK p 8 /11/50 SOLAR HEATER FIXTURES & FINAL , FIXTURES fez-pi-s / pc CONTRACTOR Palm Electric Service PHONE PERMIT NO. 10165 DATE 10/27/50 FEE $ 11.15 NEW BLDG. Z 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE Palm Elect. TEMPORARY SERVICE 9894 8/21/50 $ 1.00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES / / /� $ 1 $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 1 1 - *! Li- :4 . 1 1 i ROUGHING 10/31/5C PG H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL , -p ' y.. , J� P' P BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY THIS CARD MUST BE *'�t" 9 o t'illqe PERM! NO. BUILD! Tie Beam Framing ck.,\ PLUMBING Temporary Toilet Septic Tank ELECTRICAL Temporary Service Air Cond. Yard Spaces Sheathing Slab Rough Fixtures Rough Ducts D LAYED ON FRONT OF JOB. Owner jt, Contractor Lot - c Block Subdivision Address Roofing r o Final NOTICE: All Sub - Contractors Must Obtain LICENSES and PERMITS Before Work is Started. No Work on Sunday No Work Before 7:30 A.M. No Night Work. e Foundatio F%'i- o ' Fixtures Pool — Floor Walls Top Out and Tub Slab Final Serv. Mechanical SPECIAL Sidewalks and Clean-Up JOTICE T9 BUILDER: Protect This Card and Return To Building Deparbnent For Certificate of Occupancy 34 - 24..„, e. O NER'S NAME ( P ADDRESS so ,v. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) So NE 9/ LOT 41.- lit1!.2_ 5 BLOCK q hi.S Yer049.e. SUBDIVISION E P 2 - /A/ Sec. -it „3 GENERAL CONTRACTOR Nn k,€ ;s Pc, mod eh.fv Co p • ADDRESS /. A i"/A / le 1;55O Al &) 6 /g/Y-1. PHONE NO. 7S9-6G / LICENSE NO. 0805 BUILDING PERMIT NO. /�SSS DATE K' b I' /7 PERMIT FEE $ AS ° ( - BUILDER'S BOND p NO. ...2j7 / j / DATE " / C ZONE REQUIREMENTS CU. FT. PLAN CUBE q CU. FT. EST. COST $ 1/2 rEO' 0 0 ' I � 2 ff--,��\ ' ( DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: {.� ` ` - 'vf - �cC(^� DATE &"i Fr - 7 L NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCRIPTION DESCRIPTION e S. ALTERATION ecne /r 'SA Y S f L., h c �� -,x.r.Lt A- o-om. �� / V /�( V ADDITION /C (1-t-'71-4._. ' "°�L 04- J-e ct� .— (r6 "iri OBI .. kPN d 4,-( 4'c1'4f rOnl SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFE RED TO COUNCI REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION IS SEPTIC TANK ROOF ROUGHING $ BEAMS & LINTELS I POOL $ SOLAR HEATER FRAMING I AIR COND. GAS SEWER FINAL I $ CLEAN UP S SLAB SEPTIC TANK SLAB FIXTURES & FINAL SOLAR HEATER SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY IS SEPTIC TANK ROUGHING $ SEWER TUB & TOP OUT $ SOLAR HEATER $ GAS SEWER RANGE CONN. $ S INSPECTIONS DATE BY RE - INSPECT BY RE- INSPECT BY ROUGHING H. W. HEATER CONN. ROUGHING $ RANGE CONN. TUB & TOP OUT $ MOTORS $ FIXTURES SEWER RANGE CONN. $ S SEPTIC TANK FIXTURES & FINAL SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMP. SERVICE $ H. W. HEATER CONN. ROUGHING $ RANGE CONN. $ MOTORS $ FIXTURES RANGE CONN. $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS CONTRACTOR PERMIT NO. NEW BLDG. CONTRACTOR PERMIT NO. PLUMBING PERMITS & INSPECTIONS DATE I ALTERATION ELECTRICAL PERMITS & INSPECTIONS PHONE FEE $ I I REPAIF 1 DATE ALTERATIO APPROVAL TO POWER CO. FOR SERVICE DATE I ADDITION ADDITION PHONE FEE $ REPAIRS BY t It 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 "O u _ C _ 1 3O \v h� Registered Architect and /or Engineer CuAIZLE C°.. iTc. Neu4._ Name and address of licensed contractor uAIZLZIS REMODEL-146j Location and legal description of lot to be built on: L 6 I / of 5 .._.. Block._ Subdivision. i A l 1 S {-f OR E s _/(L L q C, E Et. IOETAL S EC 3 Street and Number where work Is to be done 6.Q _NI . E. --------------- ----- State / worrk to be done and purpose of building (by floors)_ DEI�(OLIS1.) EX1Sj FL)MIL�1Zapa{ (-)DD __ f_ (- . 14It_Y 12O0/4 .1.PDITIQ�. (IS - Pee I'L(NI ---_. New Building Remodeling Addition To be constructed of C •A • S ° Kind of foundation.... � .2ls4 I p Estimated Total cost of improvements $ 4, 840 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 be sent to_..agg. (5__2e.i_ic) Ll - - .�Q f -P • 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 b 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 . ork suc pblic such or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor to performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. j • Before me, the undersigned authority, a notary public, duly au onzed t koidminister oaths lind take acknowledgments, personally peared and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction ' that he has carefully read • egoing ap therein by him stated ark Date._. ZE Date Permit No ((c J Disapproved -- (Signed) Building Inspector 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 inspectiom or faulty mpterials and/or workmanship. 1• MIAMI S H O R E S VILLAGE PLANNI BUILDING INSPECTION DEPARTMENT BOARD 5PEE AD My Date..._ and for no other purpose. Repairs No. of Stories Royf Covering 4 -PLY ( )SPA G20 V • K d) ' 6 1 8 o and Sub Amount of Permit $ plan Cubage Size of Building Lot.. 75 x I �� 7-2F e me. Notary Public, Sta e •f lorida CommisMTLIC STATE OF FLORIDA AT 1ARGE rOiV -AtfE7UST -: TD.- -1972 --_- -- BONDED THRU GENERAL INSURANCE UNDERWRITERS 1 DATE notices with reference to the building and its construction may ap- to me well known, e. CEENSe V. ASeta .— licatio and that he did sign e same, and that all facts S-ms ► 1,t. 19 1., S 1 x/e4 6.0b0 Application is hereby made for the approval of the detailed statement or the 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 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 Ct.11). VI.. Registered Architect and /or Engineer ... of ... . of licensed contractor es iption of lot to b built on: Block ere work is to be done..., cc ? Name and address Locati and legal Lot and Number State work to be done and purpose of building (by floors)... New Buildingp T�jj.,t. To be construe ed of ► 1' Estimated Total cost of im Zone cubage required Distance to next nearest building t 2.„ Disapproved . . ..._ ..- . (Signed) �..... Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ws � Date Subdivision Remodeling Additio Kind of foundation rovements S. \2• AmotTftt of Pe it $...i t - 0 Plan Cubage Size of Building Lot Notary Public. State of Florida My Commission Expires Date ..._.........._...___.._ =' .. , 19 �. No. S. i.W Street l .. Nit-t CAA 5 ? Vq% and for no other purpose. Repairs No St vies Roof Covering..... a...S...... Maximum live load to be borne by each floor I hereb e su it all th lla nd sp cificatio�n fo aid buil i g Ali notices with reference to the building and its construction may be sent to..' 1. �Vtv .Wt`r�V.d�IW�yV�- 1.�Z:....... r i.. l A:-1..S..\ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labur under the Florida Workmen's Compensation Act, being Section 59G6, Compiled General Laws of Florida, Permanent Supplement, and has complied N% Olt 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 su2h subcontractors, op work to be performed under this permit, as are licensed by Miami Shores Village. Rernarks (Signed) STATE OF FLOJUDA, 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, said that all facts therein by him stated are true. I I Permit No 'Ab * ` Date I 42 l / Read, Sworn to and Subscribed before me. 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 l'Luuiir Board. A rc inspection Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.