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MECHANICALe fyvyyt:44 Lot Permit No ...... 5-3 Disapproved � ___ Date (Signed) / L Chairman . Member Member --- - - -- ----- - - - - -- Council Approved Building Inspector MIAMI SHORES VILLAGE BUIL ING INSPECTION DEPARTMEINIT APPLICATO N FOR bUILDINM FECIMIT Application is hereby made for the approyal 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. Own r s Name and Address Bar ton & Barton- Registered Architect and /or Engineer... Name and address of licensed contractor_ 4XXXXici X US ` 'X Location and legal description of lot to be built on: Block _ Subdivision Street and Number where work is to be done 479 43 __sitir_e a _t State work to be done and purpose of building (by floors )_ _ 3n.a to ... one 4 ton. ce.►vtrat a.i.r .t &tern a s ahown. on, pLan.4 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 $.._. 866 _ _ _ _ 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_,_e4 __Z____kaV- -!ice _ _._�Satr,.�s �4-i.e COnti._ 4234 S. IU. _.__75.....�4V..P.�.. _ _ 226 -8361 The undersigned applicant for this building permit dot 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) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aLknowledgments, 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. Date-- -- -' - -- _ : ----- - -- - -- PLA NING BOARD. DATE Member Member - Member Date Disapproved 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. Date c 9 - y No 1175 Street_71rt . 125 S-t. $aV us A.9r COncGiti.ort.i n q 4234 S, U/, 75 AVe.. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My . • mission Expires Date :'ERMIT APPLICATION ( FOR MUNICIPALITIES MUNICIPALITIES OF DADE COUNTY Job TO RETAI P Y) Address i -�© 5 // 7c/ Ai � c7.3 CO Tax Folio II '3 ry ce® 6 _a / � �/ Master Permit 0 � a s JA A" 6A i p/N �(� C Phone 75 2- 6 Address <16 Gb Co 1(A -u- _ 1ifier SS0a3 - -6 5- Phone `1 it Description .202 / Lessee / Tenant Ire Address :racting Co. �w� -Air :e0 Ac,e3 ice itect/Engineer Address All Company Address ;gagor Address BUILDING ELECTRICAL PLUMBIN .nit Type (circle one): K DESCRIPTION are Ft. NING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE JRDING YOUR NOTICE OF COMMENCEMENT). ication is hereby made to obtain a permit to do work and installation as indicated above, and he attached addendum (if applicable). I certify that all work will b3 performed to meet the dards of all laws regulating construction in this jurisdiction. I understand that separate its are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL Work. R'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all wash be done in compliance with all applicable laws regulating construction and zonin3. iermore, I authorize the above -named contractor to do the work stated. • , -y as to Owner end /or Condo President 3mmissjan' Expires : ^.?_!nlIF 7 r-.:,7DA. .1.e ' . T FEE: APPROVED: Fire i of Owner sand /of Condo Competency0 President Zoning Mechanical Bu iding ing•- 6 g l-& - Ins. C t t.✓ _ , l e A. ii.r Estimated Cost r.// /l Signature of Contractor/. • ner- Builder Date: MECHANIC Notary as to Contractor or Owner - Buillfl$ My Commission Expir4 i ; F a•ti c. A24;uti2 1',JuikuNsEIi.i'ar*U.. Other Electrical Engineering PAVING FENCE SIGN