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1080 NE 93 St (2)S BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ' ' PERMIT N(.i 4201 CJ n U Work to he performed under this Permit Owner of Building CONTRACTOR OR BUILDER Bl DATE . __ _ __ 19 Contractor's License No. Subdi- vision Value of II Amcunt of Project S 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. Signed. 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 authorittos of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT .'Y" M I. BL. ,1 APPLICATION Application is hereby made for the approval of the detailed ing or other structure herein described. This application is mad Shores Village, Florida, and all provisions of the Laws of the Sta regulations of the Building Division of Miami Shores Village shal plans and specifications must be kept at building during progress of the Owner's Name and Address '• A• M. Lance ION DEPARTMENT UILDING PERMIT t of the plans and specifications herewith submitted for the build - pliance and conformity with the Building Ordinance of Miami ,rida, all ordinances of Miami Shores Village and all rules and be co .lied with, whether herein specified or not. A copy of approved ork. Date June 4 , 19 63 No 1080 Street NE 93 St• Registered Architect and /or Engineer Name and address of licensed contractor Miami Heating & Ventilating Co., 2515 Sr7 8 St., Miami Location and legal description of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done 1080 NE 93 St. State work to be done and purpose of building (by floors) Chrysler #523.2-2 furnace & it—ton BTU on heat, 47,000 BTU on a[, 270 gallon underground tank Fla. arc, 120,000 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 $ 2375.00 Amount of Permit $ 13.00 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 Miami_ Heating_ & Ventilating Co.,_ 2515 S7 8 St., Miami, Fla. - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. '; ( Remarks 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. 0 q Permit No sapproved fined) • Date - Date to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 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 materials and /or workmanship.