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ROOFINGOwner's Name and Address ...,....., Ken Taylor Permit No Disapproved (Signed) Chairman Member IT Member Date 11 — ' Date MIAMI SHORES VILLAGE BUILDING ONSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby !made for the approval of the detailed statement tit Inc plans and specifications herewith submitted for the build ine 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. 2 -2 -81 Date _ . , ..._.__. ,19. No 1226 street N. 93rd ® t Street Registered Architect and /or Engineer ,,, :. .,•.,,,, „..,,,..•, -,. .. , A. Bo Martin F.00fing Contractor 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 122E N.E. 93rd , Street State work to be done and purpose of building (by floors) Re- roofing phi c0Z0e 7/12- s 5 /C) ....._ ....... ......_.._............_.._ d _.._. and for no other purpose, New Building Remodeling Addition Repairs' X No. of Stories , To be constructed of Kind of foundation , Roof Covering Estimated Total cost of improvements $ 11,000.00 Amount of Permit $. 20.00 Zone cubage required squares .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 Secticn 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied %sill+ the provisions thereof, and will require s 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 pn the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcoptj9ctoye� en vp�k..to a performe under this permit, as are licensed by Aijami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. 1 ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared A. B.A_..Nartin 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 sore, said that all fads therein by him stated are true. Read S rnn o and Subscribed bcfor t--a✓Q..-4._r Cis Af / '(- Notary Publwewk,oI]itioc OF FLORIDF, AT LARGE wilding Inspector My Commission Esp MY. COMMISSION EXPIRES DEC 9. 1983,' oNDEll THRU "IPE1QERAt, 'TERS PLANNING BOARD DATE Mambo . 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 PLrnnir,;; Board. A re.impection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for insviectinn oe faulty materials and /or workmanship, BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder MIAMI SHORES VILLAGE. FLORIDA PERMIT Owner of Building Legal Lot Description Address of Building CONTRACTOR OR BUILDER Bl. Work to be performed under this Permit 1' 1•19 4725 f Subdi- vision Value of Project $ DATF Contractor's License No. Amount of Permit $ 195' This permit is granted to the contractor or builder named above to constn,ct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with th ) 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 assurr a s the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawing. or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. /f r Signed. ., / t- ( BY INSPECTOR In consideration of the issuance to me of this permit I agree to perforce the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements cr 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. BY AUTHORITY e BUILDING INSPECTION DEPARTMENT APPLIDATION FOR BUILDING PERMIT Application is hereby umde for the approval of the detailed statement or me 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 j.tiarni 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. 0\4-flees Name and Address ..... /; Registered Architect and /or Engineer . .. Name and address of licensed contractor. .s.. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where. work is to be done Sta, ,work tq be dcmc and urpo -of bui / MIAMI SHORES VILLAGE New Building Remodeling Addition Date To be constructed of Kind of foundatio Estimated Total cost of improvements $4 :C2 � Amount of Permit & Zone cubage required .Plan Cubage Distance to next nearest building Cite of Building Lot Maximum live load to be borne by each Permit No Disapproved (Signed) Building Inspector Date No Street ., . ....,... ,,. tt... t... tt' 7 t -.1 .... P--"„A/1) and for no other purpose. Repairs No. of Stories Roof C.9vering 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 Sop )lenient, and has complied %%1111 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)... .:!�1 _1"1'1. STATE OF FLORIDA, COUNTY OF DADE. Ss. Before me, the undersigned authority, a notary public, duly authorizcd 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 arg 6ue. �.g Date. ..c ? f '1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD ................ 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 nfter approval has hecn obtained From the PL llo, rd. A re tn.pection 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 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 o the work. STATE OF FLORIDA, COUNTY OF DADE. J ss • MIAMI SHORES VILLAGE • Remarks (Signed). Date 5 , 195 • No.. ;:r ?C 7 Street. Owner's Name and Address Registered Architect and /or Engiii er Name and address of licensed contractor. Location and legal description of lot to be built on • Lot Block Subdivision. r Street and Number where work is to be done 16Z'2 1/> - State work to be done and purpose of building (by floors) : `" w ed , . - ri 75 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 $_ /mo• • Amount of Permit $ a-9 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 ceztify 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 in the work to be performed under this permit; and will post or cause to be posted for inspection o the site of the work such pu )lic #iotice or notices as are required by the Act. The undersigned agrees to employ only such su ontractorrsy wprk o performed nd r this permit, as are licensed by Miami Shores Village. !01 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. Disapproved Date ( Signed) Notary Public, State of Florida Building Inspector 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.