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BUILDING PERMITStreet and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. j ss • Disapproved Date (Signed) 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 hepsn specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date b / , 19 v Owner's Name and Address........., ..!!�/ l� e No 4 ( Street. ./�- tekst 04-d C • , � E3 .�rt 1. Registered Architect and /or Engineer ....4QIiCT.. /.Y..1�.E.. I -1r2�� /- 7L�L.T. • e D. 1ree.E /.!'�A,0 ,.4Lvl i)r'.E.ic Name and address of licensed contractor JI•� /.K../ :., el ./1 f . / d4141 ..... J!9'i=!.'te., Location and legal description of lot to be built on: // Lot h Block Subdivision-- ._..._/we'.A-' �.-- - MI/.. -tee / /4a Air 1.? 5 J' State work to be done and purpose of building (by floors) 1844-ad , - and for no other purpose. New Building ' Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation 'SI Roof Covering //.�e Estimated Total cost of improvements $.) Y.QPO X _ t m of Permit $ Zone cubage required , Q -QOQ plan Cubage 1- / ? Distance to next nearest building t rAp .I ((NO 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 "9 6o tie_ _fidc f fpild.-ei 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 inspect' • on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon .ctors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) l Chairman Member Member .. Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. r�Q�l ;'Y?►afrf t 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 Building Inspector My Commission Expires PLANNING BOARD DATE Member Member Member Disapproved Date 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 a-f/l0 C, e( A ;? O L-6" „ Ok- f,at 4J 3 igi5;( /#-Z /2 fzifr x = 3,sr r _ f 6 -+ F ' - 43,51' /fig' /r060 K Q'7D, 6 erf -2 7?-57 f • • ML • A 4 ?. o t • C ..1 • • • • 1 4 . C I! . , ..; i rveycr ;; r, 7 tE. ; :r t '.' 1 , • Lt4 , _; I. - (-11 i rc.i Li Ty 4: • r_p": CC al.:: 1. Ci. 1 MIAMI SHORES VILLAGE 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__. R e - /C Regfi*tered Architect and /or Engineer... _ Name and address of licensed contractor_ Location and legal description of lot to be built on: Lot__ Block _ Subdivision //63 _. tE - IA. _s State work to be done and purpose of building (by floors) _. -- !� e.h't o 4� e /1'3 Street and Number where work is to be done and for no other purpose. New Building Remodeling 1 --- --- ... Addition Repairs No. of Stories To be constructed of Kind of foundation.. Roof Covering__ Estimated Total cost of improvements $ 10 0 • 0 C Amount of Permit $ 1 plan Cubage__ _. _Size of Building Lot Zone cubage required Distance to next nearest building_ Maximum live load to be borne by each floor___ BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT I hereby submit all the plans and specifications foi said building. All notices be sent to___._ The undersigned applicant for this building permit doe hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec :ion 5966, Compiled General Laws of Florida, Pennanent 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 subcontra : s, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks__ ______ - (Signed). /7 �j ! 1 P -e COL r Date-__ Date _ .19 t!v Ci No.._1L_ _- _._ street Ai - 9a sT C- b 'e C o w T `�- / ? A'P• N. h. B, with reference to the building and its construction may Date - ___..__1_- 3 / _- Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector 4 My Commission Expires__ PL A fl ING BOARD__ __ - DATE Chairman __ _ Member Member Member Member _ ___. __ _ . Member . _._ ..... Council Approved ._Date Disapproved 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 stateed are true. Permit No. Disapproved (Signed) 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. MIAMI SHORES VILLAGE Owner's Name and Address._ Regfiitered Architect and /or Engineer.._ _ Name and address of licensed contractor_. C /. R Location and legal description of lot to be built on: U zl 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. y .cP/ ./Vi= Lot__ Block Subdivision Street and Number where work is to be done_. /•/. 3 N 4 State work to be done and purpose of building (by floors).. /_ze - .....�- �..}.-e es.-ii 4 Date... '_' ,I9_ _4_67 Street- -� - -- G � and for no other purpose. New Building Remodeling Addition Repairs To be constructed of Kind of foundation_._. Roofing.... _.. i Estimated Total cost of improvements $ 41 .2 rLD .__�__a 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 foi 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 Sec:ion 5968, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for 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 ub tractors, 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 same, and that all facts therein by him stated are true. Permit No 9 ° 7 ._ Date / _ Z — _7 Read, Sworn to and Subscribed before me. Disapproved __.. _ _ . _ Da e__ (Signed) ._.r Building Ins . ctor PLANNING BOARD Chairman _ Member _____ Member . Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. No. of Stories to me well known, Notary Public, State of Florida My Commission Expires__ DATE Member Member Member . _._ ....._ Date Disapproved or changes to this application after approval Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING ROOFING Architect contractor , pr Builder Legal )escription Address of wilding Owner of Building MIAMI ilk 3 2, PERMIT N? This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances per aining 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- -:` ime 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 ;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordMartces and regulations , ertaining to the work covered hereby whether shown on the plans or dra e s or the statements or spec iiatio.s and that he ass s responsibility for work lone by his agents, servants or employees. - 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 ?ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. / SHORES VILLAGE. FLORIDA Bl. Sign Work to be • _ .. ed under this Permit BY INSPECTOR BY Subdi- vision Value of Project $ Amount of:..- ermit $ 195 AUTHORITY 6401510 BUILDING MIAMI SHORES VILLAGE, FLORIDA ,s� 1 ? ELECTRICAL ❑ Date 19 _ PLUMBING ❑ PERMIT N° 9635 Contractor's P,re. ROOFING ❑ License No ❑ Work to be performed under this Permit Owner of Building 1 R N S � . .� .� >ss�„�e t o N e, K.� TC..,i Architect Contractor or Builder t T dr... b1 s. "1 DC- C. O e.. . Legal Lox Subdi- Description Bj vision Sq Ft Address of " ...no- P V a l ue o I I Amount of c _t' Building �"' ? Project $ 1 - 7 - f.'�i7 11 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 applicd- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an 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 �4hown 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 ployees.0 f . . Signed.-4 CTOR) BY In consideration of the issuance to me of this permit I agree rform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings .t ements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done ? either, mys my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY