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50 NE 93 St (3)Distance to nest nearest building.. Disapproved (Signed) AP Building Inspector MiAlAi SHORES VILLAGE LPL C ATI t. Date ING INSPECTION DEPARTMENT N FO BUILDING PERMIT Application is hereby made for the approval of the detailed statement in one 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 progreu of the work. TP0.44.rnerd4.:...e; Date..---- O 1 wner's Name and Address No.- -4,t.4. Slat qa.. Registered Architect and/or Engincev 10111 1111 1.1•1101949411901•1•991 lllll =11 .1 Name and address of licensed contracto2 ............................. Location a d legal description of lot to be bun on: Lot Block Subdivislora Street and Number where work is to be done 9_3 State work to be done and purpose of building (by floors) °"/ MANNING BOAR* and for no other purpose. New Building Remodeling Addition Repairs Na. of Stories _ To be constructed of "7, Kind of foundation Roof Covering Estimated Total cost of improvements $ ,/..er.: Amount of Permit Zone cubage required ........... _____Plan Cubage 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 u ndersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e niployer oi labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Siqplement, and has complied %sill' 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 arc 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) a/M STATE OF FLORIDA, COUNTY OF DADE. 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 she same, and that all facts therein by him state st.ited e true. Permit No.... 4..1, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE to me well known, 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 apprm'al has been obtained from the Plannir.;.: Board. A re.mspection fee of $1.00 will be charged when such re-inspection is made Recently) by improper notice for inspectiarn or faulty materials and/or workmanship. BUILDING ❑ ELECTRICAL DATE 195 PLUMBING C PERMIT N9 9972 Contractor':. License 1Vo.._ ROOFING Work to be performed under this Permit Owner of Building__. Architect Dontroctor or Eu lder_ Legal Description Address a: Building Lot MIAMI SHORES VILLAGE:, FLORIDA Bl. Subdi- vision Sr Ft Value cf Project Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descrfied in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will he perfcr ned in complia - 'ce with any plans. drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. 'Ibis Permit may be revoked at any tome it the work is riot done in compliance with such ordinances or if the plans are changed with :nit authorization. A further ,:ondition 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 regulat;ons pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work dove by hi; agents, servants or employee,. Signed: — BY INSPECTOR In ceps derai.ion of the i suance to me of this permit I agree to perform the work covered hereunder in zomulia'ice with all ordinan ces an 1 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Alfrmi Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORtI Y 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 r,nd regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved pans 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 Street and Number where work is to be done APPLICATION FOR BUILDING PERMIT State work to be done and purpose of b7i}ding (by floors) Chairman Member Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date 0 , 1g'.0 . No. - -- 0 Street._ -- . � -; ' Location and legal description of lot to be built on: • Lot Block c - ------_----.- - _•-- - -.... ... PLANItl1NG BOARD DATE 4 * - -az-(a , e111. 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 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 buildi.ng and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts h:is 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 h:;m 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 u ider this A by . s ` Remarks (Signed ) permit, as are licensed b Miami Shores Village. e 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 .rac:ts therein by him stated are true. Pe�rnit No._ Date Disapproved , L Date ; ,/. Notary Public, State of Florida (Signed) �� :.; Building Inspector /^ My Commission Expires 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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or fauIt:y materials and /or workmanship.