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MECHANICAL PERMITOwner of Building Architect Contractor or Builder Legal Description Address of Building Lot it ►,i L CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATF `� 19i L �� PLUMBING ❑ PERMIT N? 9901 Contractor s License No f ROOFING ❑ � - ❑ Work to be performed under this Permit— A L. t . {. ' tat. Subdi- vision Sq. Ft Value of Project $ �1 a Amt. 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 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 done by his agents, servants or employees. , s 1 Signed: L&_'( . INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work coverpzl hereunder in compliance with all ordinances and regulations pertaining t ereto and in strict conformity with the plans, drawings, statements or specificatio 4'submitted to the proper authorities of Miami Shores Village. In acceptij 'thiel per I ssume responsibility for all work done by either, myself, my agejift, servant or employee. BY BY AUTHORITY Street and Number where work is to be done Cht MIAMI SHOP S VILLAGE BUILDING INSPECT N DEPARTMENT Location and legal description of lot to be built on: Lot — Block Subdivision Sft�.t. . ."Ps, /' •• APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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... ET 2 f_._...._.._ ,19. Owner's Name and Address R C s'1 531 S1? g No 11 2 5 Street. N, E 7 2 S *° Registered Architect and /or Engineer Name and address of licensed contractor -v_ (- Ca State work to be done and purpose of building (by floors) i N 7/4 6 -11 P P.4-.1 rB (.[. srmL�_I•- '- .7'JOieI °7C'O c 0Pic s r -r-fe• - ,?!'.!K °r'C) S v c and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation RoofQvering Estimated Total cost of improvements $ 27 4 Amount of Permit $.._.1 41) ° ' 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 5968, 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 in • lion to of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco `. actors, on wo to be pefformed under this permit, as are licensed by Miami Shores Village. Remarks - - -_ - _ -_ -_- — -- -- (Signed STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized peered 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 __ -.. . Read, Sworn to and Subscribed before me. Disapproved __ _ -- --- - - -S,Z D (Signed) . Chairman Member ----- ------ - - - - - - Member .- . .-- - -• - - - Council Approved — .__..._ Building spector PLANNING BOARD_. NOTE: A charge of $1.00 will be made for the Planning Board. A re-inspection fee of $1.00 will be charged materials and/or workmanship. _Date My Commission Expires ...... .--_- ................ __ _- -- - -.-- —. _ Member inter oaths and take acknowledgments, personally ap- Notary Public, State of Florida DATE Member Member Disapproved .to me well known, Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty ■ 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._ PR. C.4 5 : 0 9.5.7°4C . No I 2 5 street__ ist 9.2. 5 r. 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 .7 _ea. H 2;'i . c)/?_ g .3 C 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 $ 2 0 e.-) Amount of Permit $ Jo. 420 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, Pennanent Supplement, and has complied with the provisions thereof, and will req 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) 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 No Date Read, Sworn to and Subscribed before me. Disapproved _ Date__ ( Signed ) 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 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. 1 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 ' ‘).- el , 19 4.6 No._ - -- - StreetiY'l Yo2 �r Owner's Name and Address._.. A=1A • 41 -ill dari.e. F k"4 Registered Architect and /or Engineer �° Name and address of licensed contractor JCS` 4 s. ' a-s' / ei c` d e..,, / ( 1 ` T Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Lir__d .4!_._ i -4 State work to be done and purpose of building (by floors) ,!!_l?a' �_.t : Ii �- eq.,. 4 — : e - ...i `zv c. 0.F .1 � ¢ . /('d/''(2= c - -C —C 1 be p.c..v Z TO 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 $ 1,0 C f 6j.' Amount of Permit $ 1 (- o 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 o work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc actofs; on work/tq be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Disapproved n D (Signed) Building Iny tor 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 No 6 d ( Date ' Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires LANNING 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.