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ROOFINGAPPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statt,iuin u, Ism plans and specifications herewith submitted (or 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. July 8 86 Owner's Name and Address Robert Ellis No. lip stmt ___N.E.92nd Street Registered Architect and/or Engineer Name and address of licensed contractor .. Andrews Roofing & Imp Co 43001. LlthAve. Hialeah, Fl Location and legal description of lot to be built on: Lot Block Subdivision/Y Zet.e1 _a ...Vac al moy 9 92n Street.,...,Miami Shores Street and Number where work is to be done 112 N.E. G State work to be done and purpose of building (by floors) RE 1 RAVEL ROOF tear off old roof to smooth.workable surface and apply #30 felt with tin cap and nails - - -apply (2) 11.5 asbestos felt with hot asphalt. Apply gravel. el S: ...and for no other purpose. New Building Remodeling Addition Repairs. No. of Stories residence the & gravel To be constructed of Kind of foundation Roof Covering Estimated ,000.00 ated Total cost of improvements $ Amount of Permit & 30.00 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. ANDREWS ROOFING & IMF CO 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 ‘Vorkinen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied N% ith the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to bc performed under this permit; and will post or cause to be pasted 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 perf rmed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed)- Ca- Disapproved Date (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Notary Public, State of Florida Building Inspector My Commission Expires gr-orix5 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 CHARLES K. ANDREWS 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 7 AO Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Cilairman Member — Nferriber 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 Bo.ird. A re fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials anu/or workmanship. STATE OF FLORIDA, COUNTY OF DADE. Location and legal description of lot to be built on: 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. Date , 19_`c —�,� Owner's Name and Address r ` t 4 -f.' 6 , 1 �. No. I j d el Street___&_ ___ X _:,l` _i11 , Registered Architect and /or Engineer Name and address of licensed contractor Y 1/4..e t Li t =, ` � ° t Lot a Block r} Subdivision x_ r ' ` < ` r/ _ qp State work to be done and purpose of building (by floors) Street and Number where work is to be done • and for no other purpose. New Building Remodeling Addition Repairs No. of Stories___________ To be constructed of Kind oyndatio _ Roof Covering Estimated Total cost of improvements $ �4 "` 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, 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 _ — — r 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 - the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr e. Permit No Cam ' Date_ Read, Sworn to and Subscribed before me. Disapproved Date_ (Signed) 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. Notary Public, State of Florida Building Inspector My Commission Expires Chairman Member Member Council Approved Date PLANNING BOARD DATE Member Member Member 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 tbe or sae P. O. BOX 502 NORTH MIAMI BEACH, FLA. rIcf 2114_4. (7--L• 6dt y ;:: �....�.:. ; A A .2 e SE- 77- 2624A -3 20M 8 -53 ht/741 ROOFING & SUPPLY CO., INC. 15700 WEST DIXIE HIGHWAY NORTH MIAMI BEACH. FLORIDA AIR- CONDITIONING DIVISION r _0‘. :Zl l9St� ./7`el". 76--% g ivt-J 7..42 Page PHONES: 81 -6 -4750 81-6-5761 81-6-2341 z 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 July 19_ , 19.__ Owner's Name and Address Mr. M.H, Allice No 1129_..1L.Ettreet__._92...St.. Registered Architect and /or Engineer Name and address of licensed contractor _._ rJane,`___Gltico Roofing CO, 1100 N, E. 200 Terr• Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done._--- 1129__N.E' • - ___ ___St. • State work to be done and purpose of building (by floors)___ New ... I'.Q.Qf:._S2Qex ... Q_a'j24't and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of 4 _ply Kind of foundation Roof Covering. _._ &.__G Estimated Total cost of improvements $ 540 ,.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 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 o the work such public notice or notices as are required by the Act. The undersigned agrees, to employ only such subcontractors, on wor to be performed under this pennit, 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 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 s� te are true. . Permit No / Date 7 ` t _ Read, Sworn to and Subscribed before me. Disapproved (Signed) Buil MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Chairman Member Member ..... Council Approved (Signed) Date__ Notary Public, State of Florida ing Inspectoo My Commission Expires P w' NING BOARD DATE Member Member Member Date Disapproved 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. Date has been obtained from