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BUILDING PERMITSApplication is hereby made for the approval of the detailed statement or we plans and specifications herewith submitted for the build ins 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 prpgreu of the work. Owner's Name and Address ...hCXA - .S1 :.1eat L, E Registered Architect and /or Engineer ,,, ,,,,,,,,,,,,,,,,,t.,,,,...,, Nance and address of licensed contactor — Location and legal description of lot to be built on: Lot. a .� Block � , Subdivision _...__�....._ Street and Number where work is to be done .......1. .. 2-5 N State work to be done and purpose of building (by floors) ‘ 1 1 3a65 O3 - 1Q - O and for no other purpose. New Bui!ding aQ..a. Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Roof Covering Estimate Total cost of improvements $ , &L? 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 ssith 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. 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. __.._. Disapproved (Signed) 1 APPLICATION FOR BUILDING PERMIT SS. Date MIAMI SHORES VILLAGE Date. Building Inspector Chairman \Icrnber Member _.....__... — —._ ...._....... Council Approved Date NOTE: A charge of $1.00 will be made for the Plannir,g Board. A re-inspection fee of 31.00 will be charged materials and /or workmanship. BUILDING INSPECTION DEPARTMENT — No...(f '�...._... Street (Signed) ' Q,rgr Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Mcmbcr Member Member sass_ 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 August 4, 1983 Miami Shores Public Works 10050 N.E. 2nd Avenue Miami Shores, Florida ATTENTION: Permit Department Gentlemen: This letter is authorization for Thomas Prentiss to pick up permits for Tri- County Construction Corporation. M. Christine Brader PRESIDENT MCB /ad TRI- COUNTY CONSTRUCTION CORP. • • • P.O. Box 161968 Miami, Florida 33116 Telephone (305) • 3 8 - 6 3 21 era STATE OF FLORIDA, COUNTY OF DADE. Ss' peared Disapproved .... 4 . (Si2aed ) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or ere 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 progreu of the work. Date..._. ° , 9. g !Z Owner's Name and Address . / Pi t;; 1 a T L. 4� IyyS Registered Architect and /or f;,ngincer...t..4M.. .. ( i .4 K lt..... ..} M ''S . . t....1••.r.. ,- x,•- - n, -e e,. ,n.?rn..• �, y �� Name and address of licensed contrjtctor.) .E.... .. L8 L L.�?. : .:tQ.f,� G TLQ.t�.. dl. - � y ._ �, r_.x v "" 1 .._.. Location and legal description of lot to be built on: 2..7 G /'e A t ✓- v i- CO �A t_ A s3 L-G S Lot Block Subdivision. — Street and Number where work is to be done / / L ,/VE S + ' Stato work to be done and purpose of building (by floors)•. yr T s r° tv O egeN}..Ac t= .5.... f ..4 c 1_....!. 5 z.:1."T 1--.i /rL :rt.G.�.r.. f :.kc tee Pv.o.x..- .._ and for no other purpose. New Bui!ding Remodeling Addition Repairs X No. of Stories e To be constructed of Kind of foundation Z..f. 11 Q tJ C.- Roof Covering Estimated Total cost of improvements $.2.0...D.0.0 Amount of Permit S...) Zone cubage required .Plan Cubage Distance .to next nearest building Size of Building Lot Maxunum live load to be borne by each floor I hereby submit all the plans and specifications for said bu' ding. All notices with reference to the building and its construction may be sent to.. z- 7 g..0..1-,D c> H vc.. .r2 rt.l.. G 413i-, S The undersigned applicant for this building permit does hercby 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 rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performe under this permit; and will post or cause to b •'Vella • s on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ •nly such sue tractors, on work be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks • 3 ' �� • Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- D. H., Wessell, Preside° Cln.s.t.r..uo'Li.alL u.1112.5_3 Inc. and who, being by me first duly sworn, upon oath deposes and says that he is the. General Contractor - 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 state are true.. t Permit No N � /'v Q Date 11 / Building Inspector Igoe c .e - 7 ; / to me well known, Read, Sw to and Subsc ' before me. Notary Public, State of Florida My Commiuion Espires ...._.....�..a....�,�. 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 11.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 1 /3v® 0 7a ° s 3 MIAMI SHORES VILLAGE ��._�,3a/ (3,4'',-,,, BUILDING INSPECTION DEPARTMENT /9006 77E ` 74/xl ; / � � APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or me 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. ` 67 /I ,19. Owner's Name and Address 4/8 i �'4''L �� eiC 2-5 ���?��v.,E. �`?... No. /�s?? Street—...?: Sj ._ __ Regist Architect and /or E ,,.. • ,H,.......•,,. i3 9 Q ' T4� &oO 7� C''45 /5v0 s'' 5, cO, Name and address of licensed contactor _.... __.._...._ ......... ....... _ — ............................. _._..__ 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) t�.= 7. s2tte_ P... PGfi Gt 3007 v. New Building Remodeling Addition Repairs v No. of Stories - To be constructed of Kind of foundation Roof Coring Estimate Total cost of improvements $ 0 7 O OO�� Amount of Permit S..�� 0....._. 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 Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Sup cleent, and has complied �.ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hips 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 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 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 sane, and that all facts therein by him state as true. . Permit No.. -. Disapproved (Signed) Date 1. Read, Sworn to and Subscribed before me. Date t e 1 Notary Public, State of Florida uilding Inspector My Commission Expires 'l# 'and f no other purydse. to me well known, PLANNING BOARD DATE . Chairman Member \fcrr,ber Member Member .. .. _ .-- -•- -....._..._._...._....... Member Council Approved Date Disapproved Date NU T E: 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 rc- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ® MIAMI SHORES VILLAGE FLORIDA , �� Date 1947 ELECTRICAL ❑ PLUMBING ❑ PERMIT Np 8441 Contractor's ROOFING ❑ License No. . ❑ Work to be performed under this Permit Owner of o n � Building S Architect Contractor or Builder r� ` �' Legal Lot Description BI Address of ,�/ ,.� "4/ Building ' g • _ 4: CONTRACTOR or BUILDER BY ra • 7 EA.. •( 7 •.. . PI •zw'- 8 Subdi- vision J L J ` 4 Sq Ft 1 .`'LY Value of Z ...- II Amount of 44,...0.4,...0.....„ • Project $ + 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 show n the plans or drawings or n the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or erqPloyees. CV Signed • i""' • 1 r �' _ (1 SRE R) BY In consideration of the issuance to me of this permit I agree to p- •rm the wor covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, sta : -nts ors ifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by .el er, rl y agent, servant employee. s..aft Itv?'u AUTHORITY -� hti?.a INSPECTIONS DATE BY RE- INSPECT BY . RE- INSPECT BY FOUNDATION p?. 7- 5/ DATE FEE TEMPORARY SERVICE BEAMS & LINTELS '�'` /a kg 2 - /2 - 6- 7 $ / o ej SEWER FRAMING ,7 ). 3y SOLAR HEATER $ i. GAS /P�Q. ;9)4 8 2-.041 S Ia 06 S EiA 5: 1_11 1 , At 14 , a.t f-ji RE- INSPECT BY RE- INSPECT CLEAN -UP ROUGHING *2- /0 � ,_, CONTRACTOR �.. /i / - PHONE PERMIT NO. Q / / / y� c4 1 DATE - p - (r/ �/� FEE $ -L.fL. NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE S SEPTIC TANK 414012i /a kg 2 - /2 - 6- 7 $ / o ej SEWER S SOLAR HEATER $ i. GAS /P�Q. .(''' IC V A. - 9.--(5-1 S S INSPECTIONS DATE BY ///��� RE- INSPECT BY RE- INSPECT BY ROUGHING *2- /0 � ,_, GAS /x-0--/ i I „f- SEWER SEPTIC TANK a+ 7 ., �' Q A .� j �,� SOLAR HEATER (/� FIXTURES 1- _ -3 p ECTRICAL PERMITS & INSPECTIONS CONTRACTO -' PHONE PERMIT NO. NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS S FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING ,3"" a ii •5 H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL f ' - 3 - /-sy BU IL DIN 6 INSPECTIONS PLUMBING PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE lr 4 - 57 BY ?)f,4 !c olJ ,,_„ \NER'S NAME LEE LINCOLN PRESENT ADDRESS 837 Lorca St.Coral Gables LICENSE NO. • PHONE NO. JOB LOCATION (ST.�bR AVE.) 1129 N. E. 92nd Street LOT 25 BLOCK "2 SUBDIVISION BAY LURE , GENERAL CONTRACTOR OWNER BUILDER ADDRESS 837 Lorca St.Coral Gables PHONE NO. LICENSE NO. #5 R BUILDING PERMIT NO. 10788 Q DATE' -2 l - 5 1 e PERMIT FEE $ 19.00 BUILDER'S BOND p NO. 120 DATE 1 -29 51 ZONE P EQUIREMENTS 20000 CU. FT. PLAN CUBE 20 CU. FT. EST. COST $ 14.500 DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: P.Gy DATE 1 -29 -51. X NEW CONSTRUCTION TYPE CBS STORIES 3. ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION Ter.Floora- Plas.Walls & Cell - REPAIRS DESCR IPTION L Rm- D- Rin-Kit- 3 Bd rms - 3 Baths - Den - Car Port - Store zm. ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS N/ �/ L� CERTIFICATE OF OCCUPANCY NO.//1/ I ISSUED / / /�� /� 66'6 "L BY�� % -, I TO e4 BUILDING PERMIT AND INSPECTION RECORPJ —MIAMI SHORES VILLAGE o O a o STATE OF FLORIDA, 1 . COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uundc for the approval of the detailed statc„u•nr or me 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 iuilding 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 prpgreu of the work. M 1 ,19.6.1 Owner's Name and Address . 1 A . i. ...:....._ — No.) ( a. nE. Streeaa nS� _StQQIt -�" Registered Architect and /or Engineer ,,.,, ... „ • 2 ,,,........• Name and address of licensed contractor -CWD X.OLI :.. Sa t j 00 n AWL- Location and Legal description of lot to be built on: Lot Block Subdivision _.._...-- ..___.••._. .... ..• .•••— Street and Number where work is to be done I tZia _....D.._ cla2.fld.. L5 _. .— 1 , 1 State work to be done and purpose of building (by floors).. » ?Q- _.AR_PU. D + C.1.1. ,.'�...�.1.... —S4.n .._ln` 01 . _ .and for no other purpose. New Building Remodeling 1 l Addition Repairs No. of Stories To be constructed of Kind off foundation._ Roof Covering Estimated Total cost of improvements $ ISO O ' Amount of Permit $... /Y_tOb 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.. 510 0 f11.<0 A UL The undersigned applicant for this building permit dots 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 Keith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performed under this permit; and will post or cause to be posted f 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 ? bcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. 1 Reinarks __._ .__ (Signed) f ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap peared R mac S� 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.. . t 1 Permit No. 2/ k Date t-f' Disapproved ►i S .:......S Date (Signed) Building Inspector PLANNING BOARD Ui2. Z L V )A -11 r` Aestd� Sworn to and Subscribed before me. My Commiuion Expires et __.....to me well known, Notary Public, State of Florida Nli . •dl.t ,,.- • - � . • , ;14 1DA Al LARL& - 1 Y SSIt 83 WHEW DATE THRU Li&NERAL 114 . UNDERWRITERS 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 apprn al has been obtained Fran the PIannir.;; Board. A rc•in.pection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anri /or workmanship. 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. f Date__ / ,E 19 �' Owner's Name and Address.- Street- -,/_�. : ' �/ ' .s _,4.1 __. _ No. f' �. o� �. _ -- -- / Registered Architect and /or Engineer. . _. Name and address of licensed contractor 4 1,4 Location and legal description of lot to be built on: Lo. Block Subdivisi . Street and Number where work is to be done____ %_J.0Z ____LV State work to be done and purpose of building (by floors )__ p �� New Building Remodeling MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT and for no other purpose. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ..� 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 subcontra tors, on work to be perfo ed der this permit, as are licensed by Miami Shores Village. Remarks (Signed) .41)211-/t1 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. ,J / Permit No 7 / Y l__ ___ ____ ._ . _ Date_.._. __ - Read, Sworn to and Subscribed before me. Disapproved _ Date (Signed) .(:(2. __ Notary Public, State of Florida /_ !� Cc �/ ___ -vC� Build' nspector 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. - Owner's Name and Address Name and address of licensed contractor Location and legal description of lot to be built on: Lot �_ Block 12 •"' 1 MIAMI SHIRES VILLAGE /10,-Z4 APPLICATION FOR BUILDING PERMIT BUILDING INSPECTION DEPARTMENT 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. L E //v C o L- A/ Registered Architect and /or Engineer 0 / A i E t1 V IY G 4 (fi _D State work to be done and purpose of building (by floors) PLANNING BOARD Subdivision Street and Number where work is to be done Chairman Member Date BAA 4.0 Rte_ C _ T3 _ ' ESs,. nrC' E Member C 19 6 No 8 51 Street 1- ©k_e_ and for no other purpose. New Building v Remodeling Addition_ Repairs No. of Stories To be constructed of C 111 S C Kind of foundation Q NC e€ lei in _ Ro f &ering____ _! — � ++aa Estimated Total cost of improvements $... _ 1 _ 4' i _ s� _Amount of Permit $ I �3 Zone cubage required Y1 g • r `� _ _Plan Cubage__ Distance to next nearest building � c"` Size of Building Lot 7 '- 1 Maximum live load to be borne by each floor I hereby submit all the plans and specifications for sai 1 building. 4,11 notices with reference ter the building and its construction may be sent to L. /A/f� - 7 L 'a +s'a A - - � � V - we ` ,e 1 . e . The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig itions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, p,=rmanent 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 .Mork such public notice on or notices as are required by the Act. The undersigned agrees to employ only such subctractors, on work to bF• performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) DATE STATE OF FLORIDA, 1 COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take .,.cknowledgments, personally ap- peared to me well !non; - 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, ad' that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to a Subscribed before me. Disapproved __ Date Notry Public, State of Florida (Signed) Building Inspector M Comm.Assion Expires Member Member — Member __ Council Approved Date Disappro ,ed NOTE: A charge of $1.00 will be made for making corrections or change, to this Epplication after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is ade neces ary by improper notice for inspection or faulty materials and /or workmanship. Date /7 72S r • 19 77;9 e>0 To 4 J.,,,c,..}0,,,,,LA' - To fa- 1) rzc; ,(0,1 0 Pc3, I B34,cL ez& 1:1 2 E LE '■ 31j Oo Lo%' Z4112f; 4' ZS -- o.o ,t -2c r2,0 — vt 0,1 r S,cn 2.51 Cac VZ. • 0 r • SATE OF FLORIDA) SS COUNTY OF DADE ) A F F I D A V I T s ki j L LU 0 • of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amend- ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Building Code of Miami Shores Village, he desires to bu ld a , � lL r J) - on Lot '25 Block 1. of V- Y LL)ZE Subdivision, tat he is the owner of said property, and will be the owner of said C `,(V c , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director:- 19 .s' . 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2, Apply for and secure a Permit. 3. Pay the required fees. 4• Execute the u ork in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. tint set himself up as a "contractor ".. 10, Sign an affidavit before commencing work to the effect that he ryas read this Article and will do the work personally and observe all of the requirements of the Building, electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner- builder as herein provided, is limited to but one owner- builder permit each 2 years, and where an owner- builder has once exercised the privilege herein conferred no second application for owner- builder permit shall be granted in lest than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: SUBSCRIBED AND SWORN TO B.EFORZ IZ this