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30 NE 93 St (7)Owner's Name and Address/' f� U V H A M t:; UILa( / Registered Architect and /or Engineer Name and address of licensed contractor i G FGn02AT9 :N Fo Q UGLDINE PERMIT FJ M IR E E VILLAGE G INSPECTIO Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing ar 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 comp:ied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. [EPArTMENT Date O �'� , 19 No '` Street G`' v i. 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) l � � G 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 $ Zone cubage required -Plan Cubage Distance to next nearest building Size of Building Lot Mauimum 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 permit, as are licensed by Miami Shores Village. Remarks ( Signed) Cam STATE OF FLORIDA, COUNTY OF DADE. f 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 lie 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 rf .Zt / Date /— J77- Read, Sworn to and Subscribed before me. Disapproved Date(/ Notary Public, State of Florida (Signed) .... . ' ^;,�� c, ,.. Building Inspector My Commission Expires P,,ANNING 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 approva;. has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building _ Architect Contractor or Builder Legal Lot Description PERMIT N? 5Th1 Work to be performed under this Permit Re MIAMI SHORES VILLAGE, FLORIDA Bl. Address of -!r- I Value of Ant. of Buildiu ,' i � Project Pinait r This permit is granted to the contractor or builder named above to construct the building or to insMII the equipment or device described in the appli- cation h or in strict compliance with all ordinances pertaining thereto and with the understanding that tiie work will be performed in compliancy with any plans, drawings, statements or pi ( he itions that nuly have been submitted to nd approved by the proper n nicipal anihorities. This Permit may Le revoked at any time if the work is not di in compliance with such ordinances or if toe plans are changed without uithorization. A further condition upon which this permit is grunted is the understanding that the contractor or builder named above assw.ue5' the respgtiiibility for a thorough knoxledgc of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dratduwgs. cu'.40-Ov statetrtents- cir"!+wcil cations and that he assumes respon- sibility for work done by his agents, servants or employees. . - F' In consideration of the issuance to me of this permit I agree to perform the work covered hc'reandcr in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. hl accepting this permit I assume responsilitlity for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER Subdi- vision DATE Contractor's License No. Signed: = �rw > rr By INSARWITIIt BY -r` A J rte ,. �.- e. AUTHORITY • BUILDING ELECTRICAL ' PLUMBING Owtler of Building Architect Contractor t or Builder .: _y; Legal Lot Description CONTRACTOR OR BUILD MIAMI SHORES VILLAGE, FLORIDA DATE 194_ Contractoz''s License No. PERMIT N. 5074 Work to he performed under this Per mit r '4G6':i Bl. Subdi- vision Signed: ,, . By_ I\SPBCTOR Address of . - `: `4. Value of Amt. of Building __ - ‘� 4 r s' Project . Permit - This Permit is granted to th:: contractor or builder named above to construct the building or to install the equipn.ent or device described i i the ;Lppli. -- cation hcrefer in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in comnliarmcec with ;iny plans, drawings, statements or specifications that may have been submitted tc and approved by the proper municipal authorities. This Porn it nea Iii.• n coked. at any time if tie work is not don(' in compliance with such ordinances or if the plans are changed without authorization. A further condition .1pcy I Niiiult (1,is permit is granted is the understanding that the contractor or builder named above assumes the reapcnsibility for a thorough knowledge of tl e orc,in.aurs .0 .c1 regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statement "pecificaticns and that he as,r.111 's lei-on- sibility for work done by his agents, servants or employees. I consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances mi : i re;ntlatian; pertaining thereto and in strict conformity with the plans, drawings, statements or specification submitted to the proper authoritlies of Miami 4a1.1.es Viliag In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY Lot • f • 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 O-dinanee of Miami Shores Village, Florida, and all provisions of the Laws of the State of Flor all ordinances of Miami. Shores Village and all rules and rc-iulai of the Building Division o7 Miami Shores Village shall be complied with, whether herein specified or not. 1 .. copy of approved plans a_ed specifications must be kept at building during progress of the wcrk. Date , 11) Owner's Name and Address _ No. Street- _ -- - -_ -. -- -- -- _ ._ -- T Registered Architect and /or Engineer- _____ -- Name erd address of licensed contractor___ Location and legal description of lot to be built on: Street :_rd Number where work is to be done State work to be :lone nod purpose of building (by floors) New Building To be constructed of -__ _ -____ _ _____ Kind of foundation Roof Covering Estimated Total cost of improvements $ Amou:ht of Permit $ Zone cubage required____ _Plan Cubage Distance to next nearest building _ __ Size cf 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 se nt to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Iabor under the Florida Workmen's Compensation Act, being Section 5366, Compiled General Laws of Florida, Per .anent: Supplement, and has cc uplied with the provisions thereof, and will require similar compliance from all contractors or sub- contractc -s employed by him in the vv or:: to be performed under this permit; and will post or cause to be posted for inspection on the site of the wom 1< such public notice or notices r.s are required by the Act. The undersigned agrees to employ oily such subcontractors, on work to be performed under this permit, are licensed by Miami Shores Village. Remarks _ (Signed) STATE OF FLORIDA, COUNTY OF DADE. SS . Before me, the undersigned authority, a notary public, duly autho::izeci to administer oaths and take acknowledgments, personally ap- peared _ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR E3LILDING PERMIT Block. Subdivision --------- - - - - -- and fee no other purpose. Remodeling_ _ Addition - -- -_--- Repairs- -- --__ -. No. of StDries . -- -- -- __ -. - - ■ to me well Imown, 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 - - - - -- _._ -- ------------- - - --- Notary Public, State of Florida (Signed) Building Inspector My Commission Expires - PLANNING BOARD DATE Chairman _____ _ -- . -_ -_ -- Member Member Member Member Council Approved Date Disapproved - - -- -- - - -- -- - ---- ---- -- ---------- -- ---- - ___ --- - -- - Date a charge of $1.00 will be made for making corrections or changes to this application after approval km: been obtained from the 'Harming Board. A re- inspection fcc of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or woriananship.