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BUILDING PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date C1. ? 2-e“ Job Address II - 5 O 1 L t 2 1 Tax Folio // Jo/ GJr g 7 ©73 Legal Description "! aL U Owner / Lessee / Tenant O W c Uppdi Master Permit #5353 Owner's Address \\ > 0 � L ` Z S 4 Phone `t S 2 n ) 0 Contracting Co. a7l,,,i Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 4:1T -L 1 0.0 7/4" Square Ft. Signature of owner and /or Condo President Date: ** * * Notary as to Owner and /or Condo President My Commission Expires: APPROVED: Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction.^ I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING a d MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is acpu,a a and that all work will be done in compliance with all applicable laws regulating constructio = oning. Furthermore, I authorize the above -named contractor to do the work stated. Owner- Builder Date: ; Date: 1�- : 2 otar as to i My Commission Ex * * * * • * * RADON C.C.F. r 50 NOTARY ;5 TOTAL DUE C Fire Other * * * 7°0 ** Zoning Building '' '/ '7)/ Electrical Mechanical Plumbing Engineering GAO¢,MOSC E E,2VOLTLAME 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. 10/19/71 Date_.._ _.._________...____ 19 Mr. Glen Denning m 1130 N.E. 92 St .II Shore s Owner's Name and Address t��_ Orkin 'Exterminating Co . . °' 19(0 MY. XVe. Muni &gicteaed Ayehitect and /or Engineer ,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,, ,,, ,,,,,>, ,.,......,,,,.,..•... ....a.,.,:...,,.,,.,:,..,..,.., Warne 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 � U 0 N. E. 0 2 St . �8 = I�T 510 Nylon Tent a on are ho - ' $3�r•�0 STATE OF FLORIDA, COUNTY OF DADE. ss. APPLICATION FOR zUOLDING PERMIT and who, being by me first duly sworn, upon bath deposes and says that he is of the above described construction, that he has,-carefully read the foregoing ai therein by him stated are true. Permit No. 1 ___.__ Date Read, Disapproved (Signed) ICI i2 r LA I. �} Bu ding Inspector J My C Date BUILDING INSPECTION DEPARTMENT PLANNING BOARD Chairman Member Member Member Member Member Council Approved Date Disappr< NOTE: A charge of $1.00 will be made for making corrections or change the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is n materials and /or workmanship. - - - - - -- 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 $ 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, 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 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 (Signe< Before me, the undersigned authority, a notary public, duly authorized to peared r 7 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 19 ,..i,, ECTRICAL EL PLUMBING ❑ PERMIT N9 7257 Contractor's License No. ROOFING ❑ ❑ Work to be performed under this Permit_ Owner of Building 1 Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER B1 Subdi- vision Address of Value of II Amount of Building 1 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 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 aad regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities 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 A UOT 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 - ' A__R_! .-______ A. /✓ Registered Architect and /or Engineer ��++ Name and address of licensed contractor t? lqe o Co 2 ,� / ''A/- 4/ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done / / ,__0____ 9 a S,j` J' State work to be done a d purposg of building (by floors )_.__ New Building Remodeling Addition _ 1. / / To be constructed of Kind of foundation Estimated Total cost of improvements $ 7 i? o- 1°-- 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) lY STATE OF FLORIDA, COUNTY OF DADE. j 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, therein by him stated are true. Permit Nddl " Date Disapproved _ Date. (Signed) �- 3 Building Inspecto Chairman Member Member Council Approved Date Date and for no other purpose. _I Repairs No. of Stories Roof Covering / 'Q Read, Sworn to NNING BOARD DATE /- (7- a ,19 No 1/ 3 0 street/V.& 9 - 5: to me well known, and that he did sign the same, and that all facts and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member 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. Disapproved (Signed) C Building ' r s. ctor RT DEP INSPECTION BUILDING BUI DING INSPECTION DEP M NT RT NT APPLICATION FOR BUILDIN PE RMIT Application is hereby made for the approval of the detailed statement of the plans and4pecifications 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. � �� Uhy��a'� Date Owner's Name and Address._.. No r �y� �Street s � Registered Architect and /or Engineer _. .�_L r � fa d � /9 �D C Name and address of licensed contractor eat_ — MIAMI SHORES VQLLGE P� APPLICATION FOR BUILDING n�w� er e 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. Chairman Member Member ..... Council Approved Date Location and legal description of lot to be built on: Lot 4 Block Subdivision . Street and Number where work is to be done , t _3 '" /J State work to be done and purpose of building (by floors) 0/ ®� o _ a 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, therein by him stated are true. G Permit No.______�G> Date �y I � Read, Sworn to Leo, !�_fl and for no other urpose. New Building Remodeling Addition._L ' / Re pairs No. oof Stories To be constructed of a c3 5 Kind of fou ff dation V-e P- o. �„ _ Roof CB Bring 7# == e 6� Estimated Total cost of improvements $ - c° A ount of Permit $ 1 t:3 Zone cubage required _Plan Cubage__tri • 43. 7:4-.9- ' ) 9 Distance to next nearest building Size of Building Lot ? )( o b Maximum live load to be borne by each floor I hereby submit 11 the plans and specifications for said building. All notices with reference to the building and its construction may be sent to d ' 0 4 ,4 UO /bpi 9p)--1.) /.4330 415 9r . f ,%d m i LANNING BOARD DATE O / -1 0 - IN and Subscribed before me. , 19 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 contractor .. ub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection o site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr cto on ork performed under this permit, as are licensed by Miami Shores Village. Remarks (Signe 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 that he did sign the same, and that all facts Notary Public, State of Florida My Commission Expires 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 j o e ` -K sad!t 'TlB t '1c c,,Le- 1- 'ft-1- c.--(t etri N. g.s-1 , 4 Owner's Name and Address f `�_G Registered Architect and /or Engineer z Name and address of licensed contractor '" ` ' Location and legal description of lot to be built on: Lot Block f;,- ? / Subdivision Street and Number where work is to be done 7 / ? © "�� State work to be done and purpose of building (by floors) it MIAMI SHORE 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 not. A copy of approved plans and specifications must be kept at building during progress of the work. C' Date _ ' 19 i i � Street �4 l ;/C .. and for no other purpose. New Building Remodeling Addition / Repairs No. of Stories - To be constructed of Kind of foundation 1 �11 T� Roof Covering I 'tit d Estimated Total cost of improvements $ ) �f ^� Amount of Permit $ Zone cubage required .Plan Cubage. e __._ � : �_t. L f` ` �e v Distance to next nearest building i C Size of Building Lot '7S / -2 .i 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 perinit 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 o he site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractor on wor to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) , ! ___ C 14 G - 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 c' .: Date �� ( Read, Sworn to and Subscribed before me. Disapproved ,.�j._ Date ./ Notary Public, State of Florida (Signed) ..___ Building Inspector My Commission Expires P ' NNING 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. " ?..a c.. A-oo 87 0 (J 12`- 94 ds V. be ( 3,t,3,( , d 0..._a4 Q (Z. 4.S, cc 4 Village of Miami Shores N9 4029 JOB ? ? ADDRESS ,/,) z „,? „f INSPECTION TIME READY s REMARKS f INSPECTOR DATE 4 d �n 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 1uilding 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. 3 Street and Number where work is to be done State work to be done and purpose of building (by floors) . _� a The undersigned applicant for this building pennit does hereby certify that he of labor under the Florida Workmen's Compensation Act, being Section 5968, Co and has complied with the provisions thereof, and will require similar compliance in the work to be performed under this permit; and will post or cause to be poste or notices as are required by the Act. The undersigned agrees to employ only su permit, as are licensed by Miami Shores Village. Remarks (Signed) Disapproved (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Subdivision // 3 c7/ i j a „4: 9A. kV a\- Date Owner's Name and Address. '' / _�.-_' '�!« i A A/ No.. �� d� Street.__1 f Registered Architect and /or Engineer. C�v G( 7/ A () Ar- ��� aw v 0E" • • Name and address of licensed contractor Location and leg description of lot to be built on: Lot Block and for no other purpose. Repairs No. of Stories New Building Remodeling Addition To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ gS C® Amount of Permit $ G Zone cubage required Plan Cubage ' °,i 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 rstands and accepts his obligations as an employer d General Laws of Florida, Permanent Supplement, all contr ors or sub- contractors employed by him inspec n on the site of the work such public notice bcontr ors, work to be performed under this 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. pp Permit No _1-__ . Date /C a• �� Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chainnan 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. " .� �' F BUILDING ELECTRICAL ❑ PLUMBING ❑ ROOFINQ ___ ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 6193 A Work to be performed under this Permit Bl. 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 th statemepk or specifications and that he assumes responsibility for work done by his agents, servants or employees. f f Signed Subdi- vision INSPECTOR r. Contractor's License No. • DATF 11 Amount of BY AUTHORITY 195/ Value of Project $ ----- II Permit $ , BY: 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 authorities of Miami Shores Village. In ac- cepting this l ermit I assume responsibility for all work done by either, myself, my agent, servant or employee. 6 Street and Number where work is to be done /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 1/- - - (7 �y �/ ,19 Owner's Name and Address. _.. °......_ !4._ _e ,q Af No 1/ 3 e Street &'C / � Registered Architect and /or Engineer Name and address of licensed contractor ��� e® �' 3 V 7, s Location and legal description of lot to be built on: � ° fi e Lot Iii Block 3 Subdivision l State work to be done and purpose of building (by floors) i p 6 LT © / °i F trs-- 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 $ °� ` 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 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 Supidement, and has complied with the provisions thereof, and will require similar compliance from all contr, ors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec '.n ., the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sybeogt . cto.., n w. k o be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. J 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..b 2- 1 7 Date 1/ ^ `1 /y -- . y_ / Read, Sworn to and Subscribed before me. Disapproved 7 y Date. ( Signed) Building Inspector My Commission Expires Notary Public, State of Florida 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. Owner's Name and Address 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 }yank to be d MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. akciy41--S 011_114 .vv, g.,P E f - e—trnd purpc a of b • ding (by floors Date 3 //( � // l l 7 No..._ - Gl_ -- Str(:et. 7 .Z, • and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kin o foundon Roof Covering Estimated Total cost of improvements $...k �. 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 subc ntr ctors, on work to be performed under this permit, as are licensed by Miami Shores Village. '9' 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 same, and that all facts therein by him stated are true. Permit No f 7 ' ` Date S Read, Sworn to and Subscribed before me. Disapproved ' Date v e. .`� '� Notary Public, State of Florida Building Inspector ' My Commission Expires to me well known, PLA 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. i 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 Owner's Name and Address._.. _ v No. 1.1.3..0 Street 1/ Registered Architect and /or Engineer Name and address of licensed contractor__ Location and legal description of lot to be built on: Permit No Disapproved z ''Date a (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Lot Block Subdivision Street and Number where work is to be done . O / _ -. State work to be done and purpose of building (by floors) My Commission and for no other purpose. New Building Remodeling Addition r Repairs No. of Stories To be constructed of- ! Kind of undation { Roof Covering Estimated Total cost of improvements $ ,l t Q.Q e v 0 Amount of Permit $ Zone cubage required _Plan Cubage :f / • 2 �•� 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 5968, 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 hint 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) GLt 44214444 STATE OF FLORIDA, 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 re ru e. 9 F e > Date 3� read, Sworn to and Subscribed before me. 474,V 1 , ,19 '6 Notary Public, State of Florida c 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. N° 4017 lge of miavni Shores JOB h�; ADDRESS INSPECTION TIME READY REMARKS INSPECTOR DATE 7 BUILDING 0 ELECTRICAL ❑ v PLUMBING ❑ PERMIT N • 81 ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot El CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bi. Work to be performed under this Permit Subdi- vision DATF ' C onn actor's License No Sq. Ft Value of ry Project :. Amt. of Permit $ !. BY AUTHORITY 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. Signed • ° BY 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 authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ;UILDING -r•ECTRICAL 'LUMBING ;GOOFING ❑ )wner of uilding /1 rchitect :ontractor r Builder �./, egal Lot iescription ddress of uilding r In consideration of the issuance to me 3rtaining thereto and in strict conformity with :pting this permit I assume responsibility for CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA 0 o PERMIT N° 3405 DATF 195 all work done by either, myse my agent, servant or employee. 3 r . / Bl Signed. Contractor's License No. Work to be performed under this Permit Subdi- vision Value of Project $ 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 orefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ue 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 anted is the understanding that the contractor or builder named above assume s the responsibility for a thorough knowledge of the ordinances and regulations rtaining 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 ,ne by his agents, servants or employees. {' INSPECTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- Amount of Permit $ BY AUTHORITY a MIAMI SHORES VILLAGE, FLORIDA BUILDING [ 1 DATE ELECTRICAL PERMIT N° 11836 PLUMBING ROOFING Work to be performed under this Permit Owner of r ' ' Building !/ t •• i s.. LG - if 11 Architect llr •" rr Contractor or Builder .f , ^ .v ' Legal Lot Bl. Description. Address of Value of Building / ; . , / r y � ' - • ' ,t '.9 ir�� r r ,� .; Project $ ,' , . This permit is granted to the contractor or builder named above to construct the building or to install the equip herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will drawings, statements or specifications that may have been submitted to and approved by the proper municipal time if the work is not done in Compliance with such ordinances or if the plans are changed without authorizatio granted is the understanding that the contractor or builder named above assumes the responsibility for a tho pertaining to the work covered hereby whether shown on the plans or drawings or in the statements o done by his agents, servants or employees. CONTRACTO$AR) BUILDER Subdi- vision , / i`'sir s «, If 195 Contractor's License No BY . %; 1 . 1 . BY ! AUTHORITY ice described in the application ed in compliance with any plans, his Permit may be revoked at any condition upon which this permit is edge of the ordinances and re ns nd that he assumes responsibility rk Signed • : - tr 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 authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA ❑ DATE / 195 ❑ PERMIT N? 6250 Contractor's License No. ❑ Work to be performed under this Permit B1 Subdi- vision Value of Project $ Amount of 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 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 P it mdy 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 condit nn 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•,Qrdinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assuigg responsibility for work done by his agents, servants or employees. ' �`,. Signed BY: 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 authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY