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47 NE 93 St (7)lUILDING LECTRICAL 'LUMBING ><OOFING ,rchitect :ontractor r Builder egal Lot iescripti ddress of uilding ]caner of juilding MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3 215 Bl. Work to be performed under this Permit Subdi- vision Value cf Project $ DATE Contractor's License No 195 Amount of Peimit 8 This permit is granted to the contractor or builder named above to construct the building or .o install the equipment or d=_vice described in the application crefor in strict compliance with all ordinances pertaining thereto and with the understandincr that the work will be performed in complianc:, with any plans, awings, statements or specifications that may have been submitted to and approved by the pro, municipal authorities. Th.s Permit may to revoked at any ne if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon wrtich this permit is - anted is the understanding that the contactor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ;:rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications cnd that he assurnes responsibility for work no by his agents, servorus or employees. Signed._ INSPECTOR In consideration cf the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations rta_ning thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper cuthoritics of Miami Sharks Village. In ac- pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. C ;ONTRACTOR OR BUILDER BY AUTEORITY MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BLHLDING 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 Registered Architect and /or Engineer Name and address of licensed contractor Building Inspector 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 rue done and purpose of building (by floors) � d (' Y .._. .7i Date 7e No... ..7 Street /« Notary Public, State of Florida ,19 and for no other purpose. New Building . Remodeling Addition__._ Repairs No. of Stories To be constructed of.../.7712 -a Kind of foundatipn._.. li.' d■c.._. Roof Covering Estimated Total cost of improvements $ 7 a 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 inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only sucl s�l�contract9rs, or;' work to be performea under this permit, as are licensed by Miami Shores Village. Remarks (Signed). • y 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 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) My Commission Expires 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.