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245 NE 93 St (7)MIA SKRES V0LtL-AGE 31 BUILDING INSPECTION DEPARTMENT AG' PLOCATORM. F® LOOLDONG FERk0T 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 a'_ building during progress of the work. Date APP. /7 lg f / Owner's Name and Address D L L ? G�1 R D 2 No / O 6 7 y Street co() ier Registered Architect and /or Engineer 1 • • (= • 6 R E &- 0 ie i-.iM /L Y ES /D ANCC' - I i STtRiLS , Name and address of licensed contractor C 0..• /✓ C- Location and legal description of lot to be built on: Lot (4 `f' pp'Tiaa cP Block - 7 Subdivision i f S M d e 6'S 5 C Do ,3 Street and Number where work is to be done Z iU C • 3 4 - 6 5 State work to be done and purpose of building (by floors) C u a./ 5 T I t i c Tic w and for no other purpose. New Building !LE 5 Remodeling Addition Repairs No. of Stories To be constructed of C 5 Kind of foundation G c N C T� �F'Eiti'F .) Roof Cq T/L •d-• Gi.4 0 b Z�C'' et, r-c4r Estimated Total cost of improvements $ � r r Amount of P ermit $ 22 / f� l n c eP o4 j J Zone cubage required_____. _ Plan Cubage__ �_ ? /4-2- li.d 1 z ,` _.U 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, on work to be performed under this permit, as are licensed by Miami Shores Village. if Remarks (Signed) t^-t . 'mac 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 Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) _ Building Inspector My Commission Expires Notary Public, State of Florida L . c.070 5 c 4-Y Z Z , G c t= 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. � g° 7 .) A F F ='= ) n c ) Q , _ - 0 3 '3 ' 0 i° n - Crr' •===1. 33 F e/- s THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS MSV /1958 Village THIS LICENSE EXPIRES _ ` • In consideration of the sum of 'J '` ! . _ ,J Dollars Paid to Miami Shores Village, Dade County, State of Florida, Date Issued ^ :, By License is hereby licensed to engage in or operate the business of MIAMI SHORES VILLAGE, FIRIDA THIS LICENSE NOT TRANSFERABLE: WITHOUT THE APPROVAL. OF THE VILLAGE MAN DER. APC 6 gr cid 49 J. B. FORD CO. 1774 W. Flagler Street MIAMI 35, FLORIDA Telephones: 9 -3508 82 -0027 o 1.50 on 4 8 9 27 ,E N .`'= °5r d i,1) I HEREBY .CERTIFY that the attached sketch represents a survey made under my direction and it; true and correct . to the best of iy d. a and be ' There are no - t as 1 d µ. RED LAN ' SURVEYORS 427 STATE OF FLORIDA - off: / ORDER NO. /2762- e. 0 F. B. 4.2- 2 5 - 3 10- 6a 50r-eie' cur Zo/ /2 04d o ,cor'rlioi. u / .1cr //3 � e[ r �7 4 /11. Ar.�44 1�L.4 P o � /, �' /0 70 So. ®°' Aev.)1i0r2 .-//rc -/ /4//,"4",c,.. B Or Co �'e ter,. �> J, .' p o,' Z,/ /3 //Sauce ,- ate iloi- /h p d.�o o/ /2? 9'2 fir ?o 4:>/lb / /LF g/ L / /3, Me'r'e ,-o'2 ��/ (7/ 4� /,' f e o/ !o/ ✓ %)- /3 /a;;;re p ,l 4. 52 i�c )L»e, , PC/.f�. o fm �y ✓r��t�� /14.6 e /o ._, ,,f „a4 O� ..-�t1e.�� h ash ja/ /.5 / fei d / /i2e o Lo,/ /3 o c/4. /o,.;c 63.5G' 'o AO , e According to the Plat thereof as recorded in Plat Book /a , at Page 70 Public Records of Dade County, Florida. For z74 /l/ /Z /, G4k'/Vzie Date = AP.eic- oe -/5),/ Form No. UD- 11 -O-953 AGENT -Copy MUST be mailed to Company on date of issue 6 1 $ i b 0 pp 6 8 o i 8 o ' • ' . OERTIIF CATC OF [INSURANCE PEERLESS INSURANCE COMPS IDIEURKESECKIDINX Keene, New Hampshire This is to certify that the following Insurance Policies are in force in this company as of the date of this certificate. Insured Daniel TO Gardner Address 10674 N. Eo llth Court Miami Shores, Florida Locations Covered Same and elsewhere in the state of Florida Description Carpentry POLICY NUMBER KIND OF INSURANCE EXPIRATION DATE LIMITS OF LIABILITY WC 4 44J 5S Workmen's Compensation Employer's Liability 4/ 18/62 Statutory F .o cida Contractors Bodily Injury Liability $ Each Person $ Each Accident Contractors Property Damage Liability $ Each Accident $ Aggregate Limit CGA72 - 12 =16 Comprehensive General Bodily Injury Liability 4/18/62 $ 50,000 Each Person $ 100„000 Each Accident CGA72 - 12=16 Comprehensive General Property Damage Liability 4/18/62 $ 5,000 Each Accident $ 25,000 Aggregate Limit Automobile Bodily Injury Liability $ Each Person $ Each Accident Automobile Property Damage Liability $ Each Accident In the event of any material change in or cancellation of the above insurance, the Company will fur- nish the holder of this certificate 10 days prior written notice of such change or cancellation but assum- es no liability by reason of failure to do so. Issued to Village of Miami Shores Building and Zoning Department Address 1O 50 Dated at North Ai 2irxd A�exnue, l is ni_ Sl} ores o Florida Miami, Florida April 18„ 19 (,, -,, ♦ t!i `� i : 0a�.to: V. •1 1;ii,.r 11.4 4 ' :.-•,J• .r.'••\1 • : i By 7 , , �' or/ t .. i ES`r' IN ,.;', -414f4ca r ve Form No. UD- 11 -O-953 AGENT -Copy MUST be mailed to Company on date of issue STATE OF FLORIDA) SS COUNTY OF DADE ) _0 A iu u % L- T, G- \ 2 a ti G (Z of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and :gay, that under the provisions of Ordinance No. 185, dated June 15, 1948, amending paragraph (d) of Section B -368 of Ordinance No. 97 of the Building Code of Miami Shore Village he 1 1 + A wait L> 9 desires to build a o N Fe)M t L y R c 5/ O E,u ( c: on Lot or- ��r , 3 $ lock 17 of tvoi r 5)402E5 s Subdivision, that he is the owner of said property, and will be the owner of said 6n L (-q M r L Y , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: - A F F I D A V I T 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shore; Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner- builder as herin provided, is limited to but cne (reuer- builder permit each 2 years, and where an owner-builder has once exercized the privilege herein conferrer ?. no second 2 arplica- tion for owner - builder permit shall be granted in less than �� years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: SUBSCRIBED AND SWORN TO BEFORE ME this 195 . day of l ��•� OWNER NOTARY PUBLIC A.D., STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved F vvv 'D e (Signed) Building In ector 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.... D.._..T..__ Gardner . No 10674 N .E e st reet llth Ct. Registered Architect and /or Engineer Name and address of licensed contractor Brady Roofing & Sheet Metal - 2955 N. W. 73rd St. Location and legal description of lot to be built on: Lot Block Subdivision.___ Street and Number where work is to be done 245 __ NA__ EA ___ 93rd St. State work to be done and purpose of building (by floors). 30 = 90 m tile and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Tile Estimated Total cost of improvements $_835 Amount of Permit $ 6.00 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 Sup pleme , and has complied with the provisions thereof, and will require similar compliance from all contractor, or sub - contractors employed by � r in the work to be performed under this permit; and will post or cause to be posted for ins . tion he s' - of the work such public . ce or notices as are required by the Act. The undersigned agrees to employ only such su.co tracto to be performed u this permit, as are licensed by Miami Shores Village. / ` / Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac owledgments, 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, a . that he did sign the same, / d that all facts therein by him stated are Permit No • Date �y ' LANNING BOARD DATE Date ,19 to • e well known, :.worn u.:ni Su�!' befi Rea Commission Expires i 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. Type Insp'n,.4 wL/ Arad t ,. Permit No. Name Address Company Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / 4 2) az Time San/ .ea4 AM II SH BUILDING INSPECTION DEPARTMENT AO'f 'LOCATOON F rmt 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 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 �!:' /Y...---,Q }ACS VILLAGE UOLDBN[S PERMOT Date �. ////.t ,/�° _ 19 No °"17....0 Street M ' ,Ftsr State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof pvering Estimated Total cost of improvements $ 4-7'0 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, 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 inspec , n o t n he w s o it t e k o t f o thg e work ch (public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon med under this permit, as are licensed by Miami Shores Village. Remarks (Signed). ___. c2e2,� ✓— c!�U f • STATE OF FLORIDA, COUNTY OF DADE. d 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 1 ) D e / 0 /5' Read, Sworn to and Subscribed before me. i Disapproved ate r� Notary Public, State of Florida (Signed) � � � = "ter = ,-' -.= Building Inspector My Commission Expires PLAN NG 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.