Loading...
DRIVEWAY PERMITBUILDING 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. / No.- .l - 6� 8 t 1 J►S 1 1- _ if 8 o Registered Arch tect and /or Engineer .. Or.E . AL � 1 e - FE Name and addr -.s of licensed contractor. -.a _LEE, _. A 5F/JA Lr.-. pA _ rin • E_ _Yr .-- AS%12J. .Lz Location and legal .ascription of lot to be built on: Lot Block Subdivision Street and Number where orkis to be done 2 - fu F � /x� ' '7 Owner's Name a d Address Disapproved �/ (Signed) Ze...- L MIAMI SHORES VILLAGE ER Ai-lI E- O �� �c� b State work to be done and purpose building (by floors) _ IQ• tl - fli ��.5 N SF, NSF& 2 - `T R -E r C *s y R 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 $ j ti * d 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 rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o wok to be p 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 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 ssta)ed are true. Permit No 7 �� 3 Date Read, Sworn to and Subscribed before me. Dat wilding Inspect LANNING BOARD Date /Illy Y - 63 DATE 19 44- to me well known, Notary Public, State of Florida My Commission Expires 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. 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. �� f Owner's Name and Address ....0.. . r` ' nit L L s" 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 work to be done and purpose of building (by floors) , e+ 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 $ 1 1 C ■r • 0 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, pp work to be .perform d under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j 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 foregoing application, and that he did sign the same, and that all facts therein by him statyd are true. Permit No " / Date Disapproved (Signed) ' MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT P, A /o — /- Date M. 1 e Date .._. .._._r_...N , 19 No Street Read, Sworn to and Subscribed before me. Notary Public, State of Florida B6ildIng Inspecto 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building f Y . Lot Bl ❑ s MIAMI SHORES VILLAGE, FLORIDA / DATE 19 -1 ❑ PERMIT N ? 4153 C ontractor's ❑ '.rte License No. El CONTRACTOR OR BUILDER lE Work to be performed under this Permit_ „ f Subdi- vision Value of ! _ _ 11 Amount of Project $ F 6" 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 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. r In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complian pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. i BY AUTHORITY INSPECTOR with all ordinances and regulations orities of Miami Shores Village. In as ABBOT Permit No. Disapproved (Signed) �� C.IrZ..�rr-� Building Inspector MIAMI SHORES VILLAGE Chairman Mfcrnber Member ...... - .-- ---- _...- • —•__ -• Council Approved 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 ufjng progress of the work. 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 ry� Subdivision /J Street and Number where work is to be done....... r State work to be done and purpose of building (by , Apors)..... .L.al.'t 4 ._J� 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. •) ! 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 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 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 employe by him in the work to be per:ormcd under this permit; and will post or cause to be posted for inspection on t site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcont ors, work to performed under this pennit, as are licensed by Miami Shores Village. 7 / 4 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. /9/06 /7-7) PLANNING BOARD _.._......DATE Member Member Member Date Disapproved when such re- inspection is made necessary by improper notice for inspection or faulty Date... —... -. �� _r ..:._ _... ,19 . . . ..n..ennm ^we•! • srntnex..... . Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires or changes to this application after approval to me well known, Date has been obtained from ( ....__ _ ,.