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1968 CHAIN LINK FENCEVPIO I BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ❑ PERMIT N° 9619 Contractor's © z � t ROOFING ❑ License No. 3 Owner ofJ Building 4 ❑ Work to be performed under this Permit r Architect Contractor or Builder C.-.t t j '' i . , t 4_ . r C c. Legal Lot I Description � BI 44 Address of r Building ,; ! '.7 CONTRACTOR or BUILDER f C GC ?of I f- Subdi- vision Sq Ft Value of II Amount of Project $L� II Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servant, or employees. Signed • ,..„ 4 it 1 . ? "/ ••" (INSPECTOR) BY In consideration of the issuance to me of this permit I a o perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, draw , statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work d e by either, myself, my agent, servant or employee. BY AUTHORITY ic7 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.. APPLICATION FOR BUILDING PERMIT State to by�done an urpose of building (by floors) i Remarks__ _______ Disapproved ( Signed) ( -. _ ' MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ate Building I,.pector Date f ez � '� 19 �`� — _ No -' ' . Street__Ate ---f == - - - J % ' Registered Architect and /or Engineer._. _ _.. 7 _. Name and address of licensed contractor_._ /:z`/.57// .4.1/ Location and legal description of lot to be built on: LotJ.7 _. A r_ /__f___._ Block s. n . _ Subdivision ,5 6" C 7 ;:/ f7 Street and Number where work is to be done C,7� d' X4iP /V „ ) .S77 ? e'-' - � ,! /27 Li' IS .r syi Notary Public, State of Florida My Commission Expires_ -- _ -- PLANNING BOARD_. __ . DATE Chairman Member Member Member Member . Member Council Approved _Date Disapproved 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 $._ e Amount of Permit $ Zone cubage required _Plan Cubage__ 1 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 fot said building. All notices with reference to the building and its construction may be sent to- — — The undersigned applicant for this building permit doe 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 inception on th site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su actors, work to be ppr(ormed under t • permit, as are licensed by Miami Shores Village. 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 1 Date _.__ " Z _ Read, Sworn to and Subscribed before me. 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.