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262 NE 93 St (7)Disapproved (Signed) 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. MIAMI SHORES VILLAGE Owner's Name and Address . Registered Architect and /or Engineer • Name and address of licensed contractor Location legal description of lot to be b ill,on: Lot Block ��oo BUILDING INSPECTION DEPARTMENT Builch nspector Subdiv sic Street and Number where work is to be done £ 6 Z State, work to be done and p se of building (by floors) • a, �- � -- .._. New Building Remodeling Addition Repairs No. of Stories To be constructed of -' Kind of foundation Roof Covering :,. fi� ax Estimated Total cost of improvements $ ..?-c- _di cubage required .Plan Cubage '? Distance to next nearest building.. Size of Building Lot :7 s : 11 < e; ........ «..._ .. .... « «.__._ _ 1111 � 19. . No.2L.Qa.,�...._ . street. ...../Q .17 _` ' 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 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 pcnnit, as are licensed by Miami Shores Village. • Remarks (Signed)_. i.��r_ �- 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 d t Date 2._-- 3 - Read, Sworn to and Subscribed before me. Amount of Permit $. PLANNING BOARD DATE Chairman Member Member Member Member 1111.. Member Council Approved Date Disapproved .1122222 and for no other purpose. to me well known, Notary Public, State of Florida My Commission Expires Date has been obtained from NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval 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. E 14..tsT - LN �- /**/),ez:Zez /./,/4i r V\ 2L- r 1 Mesh ReziuP . Owner's Name and Address__ Estimated Total cost of improvements $_ Zone cubage required_ — — Distance to next nearest building 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 regula- tions 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. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot_______ _____ Block___ ch ___________ Subdivision Street and Number where work is to be done ( Z. n) 4 -C7. 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___L_ _____ __ ____ _____ Kind of foundation Roof Covering Remarks ______ _____________________________________ _Amount of Permit $ __Plan Cubage Size of Building Lot t✓ Date__,/ 2 19; ^_.J No._ Street 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 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 lte performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, t COUNTY OF DADE. as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -- - - -_ -- _ _------ -- -- -- Permit No._______ �__�____ _ _ Date Read, Sworn to and Subscribed before me. Disapproved (Signed) Date_ L Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member -- – – – – – — — Member Member --- __ -- -- _ _ Member Council Approved ___�__— ____Date Disapproved __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. __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. (over) LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. . 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village.