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ROOFINGOwner's Name and Address M Estimated Total cost of improvements $ Building Inspector �1>\� ►I�a � t MI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT A''PLICATIDN FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement nt of ine 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. Registered Architect and /or Engineer r s Name and address of licensed contractoe 1' �.� n � ».. ?: .t.➢. Location and legal description of lot to be built Q Lot yl 1/ Block Subdivision.. 9 - , 2- ' _...J. . `f> d ,R .l q ._17.1© Street and Number where work is to be done 5.. US- ° State work to be done and purpose of building (by floors) _ c.' 7 � le A-e - rig. and for no other purpose. New Building Remodeling ✓ Addition Repairs No. of Stories 1 ) To be constructed of Kind of foundation 4/6 Amount of Permit S. t plan Cubage Size of Building Lot 1951. A A &D. No. 3 Street1 t o .� ?_ 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 buil be sent to.. ,/ ®b7 ®. / W 1P.Q ing. All notices with reference ,:f. R .. .fl, ^,Han „n,•..t,. Roof Covering 6 7 to the building 5 and s✓e r e G --2 70 0 76 its construction may 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 s.ith the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed render 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 pcnnit, as are licensed by Miami Shores Village. Remarks (Sig 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.. pq Permit No.. 9.s-"t2f. Date / / /a . l.. ......._._ Read, Sworn to and Subscribed before nee. v Disapproved Date ) or d* i via �zl ` Nota y Pub �,ra,v� IRES AUG. >. 9 993. (Signed) BONDED TI-114,1 NVIA UDLI[ UNUL'RWRITEr My Commission Expires _ _ PLANNING BOAR 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 front tlrc l'I.umir Hoard. A re- ur.pection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspectirm or faulty materials anti /or workmanship. YOUNGBLOOD a0OFTNG CO. 1100 N. W. 36th Street • Phone NEwton 5-2 501 OWNERS NA:r.F. Address JOB Address Phone Horne Office , Salesman Page Charged • ,//k,- Work Completed by: e-4 4-47 -,-",00k • -7 .. All Date BUILDING MIAMI SHORES VILLAGE, FLORIDA 19 ELECTRICAL J Date PLUMBING PERMIT N9 9615 Contractor's , ROOFING C.] License No. _ _ Owner of Building 111 Work to be performed under this Permit Architect Contractor or Builder Legal Lot I ; Description 1! BI. Address of Building , CONTRACTOR or BUILDER os . Subdi- vision Sq. Ft. Value of Project $ 11 Amount ot 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 cnrnpliiiic with anv plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. 'Phi. Permit may be revokid 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 v hich this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinance, and regulations pertaining to the work covered hereby whether shown on the plans or drawings Jr in the statements or specifications and that hu 11!•S11 respon sibility for work done by his agents, servants or employees. Signed (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance ,vith all ordinanci, and r(gulati pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autaorities of Miami Shari • Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY State work to be done and purpose of building (by floors) Disapproved -. ( Signed) 1/ � .. . �" � f- Building Inspector Chairman - - Member __. -___ __.. Member . _ Council Approved NL uQMIO D- HORES VODD •A ..02MG ONSFECTBON DEPART ENT QDDLLO 70 Fo n SUOLDD O `f> R FE IT 0 Application is hereby made for the p;oyal of the detailed statement of the plans sad specifications herewith submitted for the build- ing or other structure herein described 'f his application is made in compliance and conformity with the Building Ordinance of Mime 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. Oamer's Name and Address Registered Architect and /or Engineer.. Nance and address of licensed contractor_. 0 _. G�� ���� �9� ��� ��� j ��� fyG,� Location and legal description of lot to be built on: Lot_. - _ Block . _ Subdivision.. Street and Number where work is to be done__ ,71/Z- Date ,1 e2c& No Street _.__ - ._ -- _ _ •• - -•_ - _ __ _.. and for no other purpose. New Building Remodeling Addition__ 4 -� Repairs.. .___ No. of S ries d To be constructed of Kind of foundation Roof Covering - -- -‘ 7 Estimated Total cost of improvements $ � a Amount of Permit $_. ' ' Zone cubage required . _Plan Cubage__ Distance to next nearest building_..._. _ _ . _ Size of Building Lot._._ t:,t_'z_._ Maximum live load to be borne by each floor___ II 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 dots hereby certify that he understands and accepts his obligations as an eniployc of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the rovisions 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)./ - c STATE OF FLORIDA, p 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. s� Permit No.________d 2.3 ? Date____ _ __- ' r _7G Read, Sworn to and Subscribed before me. Date PLANNING BOARD.. Notary Public, State of Florida My Commission Expires_. DATE Member -------------------------------------- Member Member _Date Disapproved ._ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper not e for ins ,a or faulty materials and /or workmanship. OWTI T Name and Address. IAMI SHORES VILLAGE BURL ING INSPECTION DEPARTMENT APPLOCATION FOR BUILDING PERMIT Application is hereby Emade for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing as other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shares 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. j/putfAey e2.1 ,19.14?` Date__ No ,03 street__ . NZ. ....... ... .. RezItereal Architect and/or Engineer Name and address of licensed contractor. CAP kt/TH etzich ti _c 301 ktif 71 ,,rs,„ oft( 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) New Building Remodeling Addition Repairs To be constructed of Kind of foundation. Estimated Total cost of improvements $ 00 Amount of Permit , 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 building permit dot 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 -be performed under thj permit, as are licensed by Miami Shores Village. Remarks_ ...... Chzennan Member Member Council Approved Date Disapproved _ (Signed) Building Inspector PLANNI NOTE: A charge of $1.00 will be made for the Planning Board. A re-inspection fee of 51.00 will be charged materials and/or workmanship. N5 9) Sr and for no other purpose. No of Stories Roof Cover!? -S///X6 7/LE $ 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. Notary Public, State of Florida My Commission Expires.. DATE Member Member Member _Date Disapproved 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