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MECHANICALBUILDING ELECTRICAL PLUMBING ROOFING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor or Builder Legal Lot Description II Bl Address of -- Building N9 7642 Work to be performed under this Permit DATE 19 Subdi- vision Value of I Amount of Project $ Permit $ Contractor's License No. 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- $ibility for work done by his agents, servants or employees. Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder 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. In ao cupting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT 4CCP BUILDING ❑ ELECTRICAL ❑ PLUMBING jzI ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot Description II BI Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT 1 N9 7637 Work to be performed under this Permit__ l Value of Project $ DATE. Contractor's License No. Subdi- vision Amount of 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, servants or employees. Signed. :e INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder to 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. In as cepting this permit I assume responsibility for edl work done by either, myself, my agent, servant or employee. • CONTRACTOR OR BUILDER BY AUTHORITY .oeOT (\ / �,i MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING 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. , 19 6 6 � f� Owner's Name and Address _ ___ , ' ., 7 No '��' Street � € 9 a Registered Architect and /or ngineer Name and address of licensed contractor ..ocation and legal description of lot to be built on: :1.ot_ Block Subdivision Street and Number where work is to be done e5 T' 7 ? 3 2 - , = Date_ State work to be done and purpose of building (by floors) /-4 and for no other purpose. New Building___ Remodeling Addition Repairs No. of Stories "o be constructed of Kind of foundation Roof Covering improvements // 0-c, Estimated Total cost of im p $____ _____Amount of Permit $ l� 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 spec' ' mo tions for sai. .wilding. All with reference to the building and its construction may 63 sent to - - - - -- — i-' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer o: labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida, Permanent Supplement, aid has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him it the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the w. such public notice o: • notices as are required by the Act. The undersigned agrees to employ only such su . tractors, on work t . : e per rmed under this p::rmit, as are licensed by Miami Shores Village. R.marks__________ S "ATE OF FLORIDA, C JUNTY OF DADE. j 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 the same, and that all facts th, :rein by him stated are true. Permit Di ;approved (S gned) Date Signed to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Insplr My Commission Expires NING BOARD DATE Chairman _ Member Me mber 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 ii3tiee for inspection or faulty ma erials and /or workmanship.