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MECHANICAL PERMITTo be constructed of Owner's Name and Address Mr • Go Street and Number where work is to be done 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 building 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. • • 1 • • Registered Architect and/or Engineer Juan Campelo Name and address of licensed contractor Central C O m f o r t Corps Lot and legal despription of ;o be built on: Lot 14/615 - / 1235 Subdivision N.E. 93 S State work to be done and purpose of building (by floors), state exterior colors (submit samples( 10 KW New Building Remodeling Addition Date Dcccmbcr 5 7860 N.W. 62 St_ Miami_ Fl_ k/' // , .,e0s' a 7 /a'O Miami, Shores Fla. 33138 Kind of foundation Roof Covering 19_8..x_ Street 33166 C'• • '"111 • • and for no other purpose. Repairs No. of Stories Replacement Estimated Total cost of improvements $ $2,233.00 Amount of Permit $ 51 • 75 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to Central Comfort Corps. 7860•N.W. 62 St. Miami. F1. 33166 -Juan Campelo The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement, and has com..'ed with compliance from all contractors or sub- contractors employed by him in the work to be performed under t '= p mit; and on the site of the work such public notice or notices as are required by the Act. The undersigned _ _ • ploy o under this permit, as are licensed by Miami Shores Village. .Remarks (Signed) STATE OF FLORIDA l COUNTY OF DADE. 1 ss. Before me, the undersigned authority ,a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared // ,,r) �r .64 6 /t,'AJ and who, being by me first duly sworn, upon oath deposes and says that he is the ( nA17 ,e,4 of the above described construction, that he has carefully read the forego;ng application, and that he did sign the same, and that all facts therein by him stated are true. Permit Na Disapproved (Signed( Chairman Member Member Council Approved 0 Date Date Read. Sworn to and Subscribed before me. 722,19\ Building Inspector PLANNING BOARD employer of Labor under the Flu'.: "orkrnen's the provisions thereof, a. • will retire similar will pos or :u; e to thereof, Inspection iiI d to me well known. Notary Pubhe( State of Florida NOTARY PUBLIC; STATE OF FLORIDA AT LARGE My Commission Expires MY COMMISSION FXPIRFS JULY 15: 1P9' D P A tigOED THRU HUCKLEBERRY g ASSOCuAv0 Member Member Member Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 1 ti e7' MIAMI SHORES VILLAGE 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 cR W " „� Z Registered Architect and /or Engineer Name and address of licensed contractor Disapproved (Signed) ` ut t Date. ing Inspecto BUILDING INSPECTION DEPARTMENT Location and legal description of lot to be built on: Lot No /•3.5' Street -...(5 Block / Subdivision.. 4 04 i€--c— Street and Number where work is to be done /-2-33. State work to be done and purpose of building (by floors) .._.. ..._......_..._......_.__._..._ �� ,�ff and for no other purpose. rr uilding Remodeling Addition Repairs No. of Stories To be constructed of.. Kind of foundation )f ring Estimated Total cost of improvements $.... e .i? 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 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 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 in tion on the site of the rk such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su• ,F actors, on wo to ..t rformed under this pennit, 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 --- 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. �a Permit No e.s ? / Date / 7 r Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLAN PING 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. 1 r �( Rl, liiC/ rl'iqZ 4ivfr,w4 vyr 7).(z2 2 -r 4 v) , -yver17 i v 9 c r -ox, (D-y yig ( - 0 r GQ r/teb _()/ z e/ tr/l/ "ml 414 - ro-rt To be constructed of Owner's Name and Address Mr • Go Street and Number where work is to be done 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 building 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. • • 1 • • Registered Architect and/or Engineer Juan Campelo Name and address of licensed contractor Central C O m f o r t Corps Lot and legal despription of ;o be built on: Lot 14/615 - / 1235 Subdivision N.E. 93 S State work to be done and purpose of building (by floors), state exterior colors (submit samples( 10 KW New Building Remodeling Addition Date Dcccmbcr 5 7860 N.W. 62 St_ Miami_ Fl_ k/' // , .,e0s' a 7 /a'O Miami, Shores Fla. 33138 Kind of foundation Roof Covering 19_8..x_ Street 33166 C'• • '"111 • • and for no other purpose. Repairs No. of Stories Replacement Estimated Total cost of improvements $ $2,233.00 Amount of Permit $ 51 • 75 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to Central Comfort Corps. 7860•N.W. 62 St. Miami. F1. 33166 -Juan Campelo The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement, and has com..'ed with compliance from all contractors or sub- contractors employed by him in the work to be performed under t '= p mit; and on the site of the work such public notice or notices as are required by the Act. The undersigned _ _ • ploy o under this permit, as are licensed by Miami Shores Village. .Remarks (Signed) STATE OF FLORIDA l COUNTY OF DADE. 1 ss. Before me, the undersigned authority ,a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared // ,,r) �r .64 6 /t,'AJ and who, being by me first duly sworn, upon oath deposes and says that he is the ( nA17 ,e,4 of the above described construction, that he has carefully read the forego;ng application, and that he did sign the same, and that all facts therein by him stated are true. Permit Na Disapproved (Signed( Chairman Member Member Council Approved 0 Date Date Read. Sworn to and Subscribed before me. 722,19\ Building Inspector PLANNING BOARD employer of Labor under the Flu'.: "orkrnen's the provisions thereof, a. • will retire similar will pos or :u; e to thereof, Inspection iiI d to me well known. Notary Pubhe( State of Florida NOTARY PUBLIC; STATE OF FLORIDA AT LARGE My Commission Expires MY COMMISSION FXPIRFS JULY 15: 1P9' D P A tigOED THRU HUCKLEBERRY g ASSOCuAv0 Member Member Member Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 1 ti e7' MIAMI SHORES VILLAGE 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 cR W " „� Z Registered Architect and /or Engineer Name and address of licensed contractor Disapproved (Signed) ` ut t Date. ing Inspecto BUILDING INSPECTION DEPARTMENT Location and legal description of lot to be built on: Lot No /•3.5' Street -...(5 Block / Subdivision.. 4 04 i€--c— Street and Number where work is to be done /-2-33. State work to be done and purpose of building (by floors) .._.. ..._......_..._......_.__._..._ �� ,�ff and for no other purpose. rr uilding Remodeling Addition Repairs No. of Stories To be constructed of.. Kind of foundation )f ring Estimated Total cost of improvements $.... e .i? 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 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 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 in tion on the site of the rk such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su• ,F actors, on wo to ..t rformed under this pennit, 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 --- 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. �a Permit No e.s ? / Date / 7 r Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLAN PING 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. 1 ova GU1, Lt 't71/L 7-kx,c) 7)(0- //c&,Axi a-ny a/1 co-461, 0-742 fi Lw(ux.,66z .4t2A-,) il/ad777,/,b 1/69z,,,<_ 6,177