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62 NE 93 St (11)PERMIT APPLICATION FOR MUNICIPALITIES COWNER TO RETAIN COPY) Date '3- Y°9). Job Address 6;4 /J - Legal DescriptioniW4 ° � A 2-ILL—raster / Tenant 7 f z./ Owner's Address ` V Contracting Co. MIAMI ROOFING & INSULATION Address Owner / Lessee Qualifier EUGENIO PEREZ State # 0039820 Architect /Engineer Address Bonding Company Address Mortgagor �1 ---� Address Permit Type (circle one) : BUILDING _ ELECTRICAL PLUMBING MECHANICAL LAV G FENCE S] WORK DESCRIPTION VCA/C. Square Ft. 10 4 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF Y INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, : on the attached addendum (if applicable). I certify that all work. will be perf.rmed to meet t standards of all laws regulating construction in this jurisdiction. I understand that separt permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, (ROOFING, and Jw'CHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all we will be done in compliance with all applicable laws regulating construction and zonir Furthermore, I authorize'the above -named contractor to do the work stated. i� x Signat re of er and /or Condo President Date: e -" Zoning fn . Competency #1 Notary as to Owner ad /or ® ado President My Commission Expires: PERMIT FEE: APPRDi SS# 156 46 - 4075 Fire Building Mechanical Plumbing Estimated Cost ' „3f' S nature Date: Notary as t. Co3 rector Omer -Builder My Commission Expires • 410TrlHd !T.! t.0 thII eLO[L �i1P143 c 5r ❑ONOD. l . :.1J Cd . Z' J1 _;C . .1; : �'J .:.,5...,... Other Tax Phone LL .,' .,L'P 3340 N. W. 5 th ST. Phone 635 - -7551 OF DADE COUNT` Permit. Ins. Co. T0i ES AGENCL1 Contractor .r Owner - Builder Engineeri Electrical an: i0 D isri }JrOVCLI 1 ember jrncil ppro'. ed i -.;: rticat -on is hereby made for the approval of the del-, iled statenien• of the plans and specifics,' ins herewith submitccd . > the build- ing or o h, - racture her i described This ri licatc :s made in compliance and con min ty w tli the Building Ordinanr,• of 3_ia ai 61n res Village, or da, and all pro isions of the Law, i f the State of I• h,rid. all o c. nances .,f Mi in Shores Village and a i :ides and re :a a ion of the Building Div i of •iam Sho. illage 1- 'I e 'o, ipl.ed with, whether herein specified or not. A cony of ,appio■cd : ns and s c ificati .m must he ket • at building durin progress of tl-e wcrlc. Caner Name and Address... 3egiste�ea Arch "test and /or Engineer._. i /f NrDlle nd n•, address of liceed contractor ocaticn and legal description of lot to be built on: Lot - Block Nlx✓ 3r, To he coai :;t .. of c:stiTn,za , ' ,tal cost of improvements $__ •u at, required - _ to net nearest building._ .. A M 0REa L L A °sue; , rIN ENSPEC EON DEPART Ems: Hernodeling._ - Date__ Subdivision. St and Number where work is to be done. State work to be do.ie and purpose of building (by floors) Date'. - No ` ____ Street_ .!/. and for no ot] ou mnsc. Addition__ _ ____ ___ ___ __ Repairs. _ _ _ No. of Stories I {ind of foundation _ _ __ . Roof Cov =ring fl, Amount c` Permit Plan Cubage_.__. -- -- - _ _ _Size of Building Lot llive load to be borne by each floor .. .r. t' ;• submit all the plans and specifications for said building. All notices with referer..ce to the building and its cnns:: lac i u 'Th.: nude signed appli ant for th 's building permit does hereby certify net he understands and accepts his ,•bli gations as an l'1111)1())' r of 1 bcr under I e :Florida «orlunen "s Compensation Act be•ng S. -tion 5963 Coi p led Gen al Laws of Florida P r anon :i t,aolc 1 : t >: . a. h s comp' cd w th he prov'.ions thereof, and will require s.milar comp lance from all contractor or sub ur contractors cnlo •ed liy hin, i n th. wo k to be p ri med under th s pern it and ill post or cause to be posted for inspection on the site of the work su -li z-ul.he not: c t c:•q rs r - .c xequir d hy the Act. The u. d.r ign d agrees to employ only such ,,.i.i ct'rs, ca. work to be perforn, d _resit 11'1 aye 1 ccnscd by i■ any. Shores 'Nil : ge. r (Signed) . lY" •F 'AD?, CS. :he un..dersigned authority, a notary public, duly authorized to administer oaths ..nd take acknowledgments, pLrro a ,.. to isle c✓U. 1 town, hcin;; by roe first d. ly sworn, upon oath deposes and says that he is the of Cc al,;,; tic .t. ibed istruction t. h has careially read the foregoing application, and that he did sign the same, and ti_ a.; :hated are tr ie. _ J Date.- __ -. __ - _ Read, Sworn to and Subset' rd before me. Building Inspector My Cominii;sion Expires. PLANNING BOARD _-_-DATE Cli i ins', - -- ... - -- N'embeo - a :inber _ - - - Membes .. Me,mh,: r _.. .Date Di:apn:ovcd Notary Public State of Florida NOTE: A. charge of $1.00 will be made for making corrections or changes to this application :ftrr approval h is hecn obtained from the Planr ng Board A.re-inspection fce. of $1.00 will be charged when such re- inspection is nu .:e necessary by improper notice for inspc or fa sty n aterials Inc. /or workmanship. 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 far the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordir ante of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and 111 :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. Date , 19' Owner's Name and Address • Z No Street Registered Architect and /or Engineer..._ ' '„,. . - "G G " Name and address of licensed contractor.._ - , "'1 ..'..,s z'' 6% ' • l' . ' ✓� / Location and legal description of lot to be built on: Lot �� •, __ 7; ' �� �.�,.� Block != Subdivision /�.Z' � o ' lE� i Street and Number where work is to be done . ''`> - State work to be done and purpose of building (by floors) _..... 1:_f ,i .,, and for nc other purpose. New Building Remodeling "! Addition Repairs No. of Stories ... . To be constructed of[' ' Kind of foundation . 2 / j' ," ' ` ,' /" Roof Covering Estimated Total cost of improvements $ , Amount of Permit $ , Zone cubage required Plan Cubage Distance to next nearest building .Ga'.ie ` 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 t•te building and ats const- action r.1ay be sent to � . = The undersigned applicant for this building penrit does hereby certify that he understands and cccepts his obligations as or: employer of labor under the Florida Workmen's Compensation Ac:, being Section 5965, Compiled Gereral Laws of Florida, Permanent Snp >lement, and has complied with the provisions thereof, and w?Il require similar compliance from all contractors or sub- contractors empicyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on ^_:he site of the work such p ublic notice or notices as are required by the Act. The undersigned agrees to employ only suc;la_sr'.bcontr ctors, on worlt to be perf under ;this permit, as are licensed by Miami Shores Village. / Remarks (Sig'rted).'� .— STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me c,uell 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 Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member .. Council Approved Date Disapproved Date NOTE: A charge of $I.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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT N9 MIAMI SHORE:S Work to be performed under this Permit_ _ Architect Contractor cr Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER Bl Signed. VILLAGE, FLORIDA BY 4992 Subdi- vision Value of DATE Contractor's License No. BY Amount of 195 Project $ ,1 Permit $ This permit is granted to the contractor or builder named above t j construct the building or tc install the equipment or device desorib=“1 in the application hei in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any pans, drctwings, statements or specifications that may have been submitted to and approved by the croper 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. iii further condition upon which this permit is grc[nted is the understanding that the contractor or builder named above assumes the responsfollity for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or rawings cr in the statements or spcitinr.s and that he assumes responsibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work cove:ied hereunder in i7oinplicmce 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant cr employee. ALIT' IC).-311 0 id* BUILDING ELECTRICAL PLUMBING ROOFING iv Owner of :Building 1 .Architect Contractor or Builder _ Legal Lat Description . Address of Building CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Date__ PERMIT N9 9130 Work to be performed under this Perrr it St bdi- viio Sq. Ft. Value of Project $ Contractor's License No. This permit is granted to the contractor or builder named above to construct the building or to i,stall the equipment it clt \ etc deserilu tl In c'.c - 31 , ;1 n.... tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding to: - the work will he Ft rf : n;iid in ro 0 \% : u i . plans, drawings, statements or specifications that may have hten submitted to and approved by the prop: r mur.leipal authorities. ll.i• Permit ncie 'te IL\::',._.t at any time if the work is not done in compliance with suc:- ordinances or if the plans are charged NI ithout authorization. A furthc condition ugtim wt, it h ti permit is granted is the understanding that the contractcr or. builder named abov;: assumes the respom ihility for a thorough i now le ige of thL :�rclinaur∎ • .n l regulations pertaining to the work covered hereby whether a Town on the plans or drawings or is the .t atements or specificai:ionr, and that hu :, "urns rr,,:(Ji sibility for work done by his agents, servants or employees. Signed:— _______ ,I NSPECTOR) BS'. _ .__ In consideration of the issuance to me of this permit 1 agree to perform the .vork covered hercur der in compliance wi'h 11;1 orclinanr,, .111:1 1142 1 al`.iu- pertaining thereto and in strict conformity with the plane, drawings, statements cr specifications submitted to the proper autho :it._ f Miami till nc ,. 1 i'.lat r. In accepting this permit I assume responsibility for all ■ done by either, myself, my agent, servant cr employee. BY :`t[' ri1:ORITY 19 i Owner s Name and Address / -' Registered Architect and or Engineer __ Name and address of licensed contractor Chairman Member Member _ _ Co. Al Approved UA[M1 Location -nd legal description of t to be built on: Lot_ __ _ .___ _ __ _ _. _ ___ _ Block __ _ _ __ _ Subdivision_ v , �/ Street and Number where work is to be done_ •:___ G _ _ State work ' c be done and purpose of building (by floors )____4_ ■ U1LEDhNNG 1NSPI CTOON DEPAIRTMENIT Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing o. other stru ture he ein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V hag s. F onda, and all pr3visions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and r11 Hiles and regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A cop of approv d plans and specifications must be kept at building during progress of the work. 0 UOLUDONE FE BY ( Remarks -- - (Signc ) L LAME E - -- No. - - - - - and for no other purpose. New Building _ _ ___ Remodeling - ___ _ - _ Additin Repairs _- -_ _ ✓ No. of Stories __ _ .. To be constructed of _ Kind of foundation B.00' Covering Estimated Total cost of improvements $ ._!� _ _Amo .. c c Permit $��__ Zone cubage required_ _ _ __._ _ _Plan Cubage Distance to next nearest building_ __ . _ __ _ _ _Size of Building Lot_ _ _ Maximum live load to be .t me by each floor ___ _ _ _ _ I hereby submit all the plans .d specifications 'o . sad .-iilding. All notices with re' erence to tite building and its conrtr_ ction may be sent to _ _____ _ __ _ The undersigned ^.ppi' cant for this buildin;; permit does hereby certify that h . ; nderstanc.s and accepts his obhga ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 6968, Ccmpiled General Laws of Flo_icia, Permanent Siiplon neat, and has complied with the p. ^v'sions thereof, and will require similar compliance from all contractors or sub contractors p'oyed b, him m the work to b.; r: rformrd u der this Hermit; and will post or cause to be por.ted for inspection on the site of the wprk st.ch public nonce or notices as are required by the Act. The undersigned agree. to ploy only such sub' ntra - 2 s, on work o br pe formed under th s permit, :. are licensed by Miai. Si a e; Village. Date_ ' //� _ 7 Read, Sworn to and Subscribed before me. Notary Public, St, to of Florida My Commiss'on Expires - _ PLANNING BOARD _ _ DATE Member Member M ber - Da_e D sapp;.oved Sreet_ �� - o 19 ( CY 'LORIDA, COUNTY OF DADE ss ' Before me, he undersigned authority, a notary pubh., duly uthorized to administer oaths and take acknowledgments, persoially ap- peared __ to me well known, and who, being by m fist duly swo•' upon oath deposes and says that he is the _ _ of he above described const u tion that ie has carefully read the or :'going ' caton, and that he did sign the same, and that all facts therein b ism F ated are truuee. Per it No. _ jv Disapp o ed _ D ;Signed) /// f� e i- f _ l luildi ,g Inr.ec_or Date NOTE. A charge of $1 00 will be made for making corrections or changes to this appl cation after appr, val has been obtained from the Planning Board A r. - i_.pe. i fec of $1.00 will be charged when such re- inspection is made necessary by improper not;ce for inspection or vaulty materials and /or workmanship. Application is hereby nnadc for the approval of the detailed statement ut ane piens end specifications : :ewith stnbmined foe the bei!tS in or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mtarei Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and ell ry :es end regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specif ed or trot. A copy Of a 7. plans and specifications must be kept et building during progress of the work. Owners Name and Address, %P ' ill � i// 4 r- . y d s m No.- `O 9 . Stfcet.m. :3 » .. Registered Architect and /or I n5ineeP ......../ .... •!` �O � =� Name and address of licensed contractoy. 2'' Location and legal description of lot to be built en: Let Meek St Stseet and Nu431be8 where work is to be done M FF nATIBDfix? F BUILDING INS. ECTION DEPARTMENT MB SHORES ILLAGE R Imo; P, a IL U ?') PER rL ivistdro 2 State fork to be done and 05C of building (by fleaas) ��� '� Disapproved ._... ...0 Date.._........_ (Signed) B i g1 nspeetor read troy no o2h27 . : New Bui!ding Remodeling Addition Repairs No. ni Storer , - To be constructed of Kind of foundation Roof Covering e ' / ° ` fT > Estimated Total cost of improvements 8 . e." / Amount cf Peerni!t S. r Pc. S Zone cubage required .Plan Cubage Distance .to fleet nearest building. Size of Building Lot Maximum live load to be borne by each floor X hereby submit all the plans and specifications for said building. All notices with reference to the 'wilding and its construction oozy be sent to.. The undersigned applicant for this building permit does hereby certify t 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 Siimlenient, anti has complied %cith the provisions thereof, and will require similar compliance frog Il contractors or w rt actors emeuloyec'> �y !lee: in the work to be performed under this permit; and will post or cause to be posted ( • spection en t e of th work such �tablie e-attce or notices as are required by the Act. The undersigned agrees to employ only sue s¢ rozactors, rk to performeai ;z:. reef 1:^eis permit, as are licensed by Miami Shores Village. / ` to e- Remarks..._ (Signed ». �— ::- e =-- STATE OF FLORIDA, p COUNTY OF DADE. d ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take achnawlcdg :easta, pe_w37 ap- peared to me was? 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 dead the foregoing application, and that he d.d sign the saute, c.d ebe2 tit feces therein by him ssaeed are tire.. t sy Permit No..—.2.45-0.. Date ......1 .. Read, Sworn to and Subscribed before Lm. Notary Public, State of Florida My Cernraaissioa Expires PLANNING 3OARD _.. ».... »DATE Member Member Member er11t ^ •••n.•.M4O f.1,99 CO .1710110,1 g, Citairinen Isfcrebcr of ember .. . . Council Approved Date Disappaow� Date N(JTE: A charge of 81.E rafil➢ be made fez w9alzing eonections or changes to this application niter approval has bern �b2e'. :.c l gin oa the Planning Board. A reeespection fee of 31.00 will be charged when aaech se- inapecttaaa is maeo rtscecsary by impra >r native ge2 ieaaati 6C.2t1 materials and/or workmanship. Owner's Name and Address Mi SHORES V 11.ELAGE BUILDING 0i:1SPECTION DEPARTMENT (9 TI N F R BU LDEN3 PERMIT Building Inspector PLAHNIINC BOARD. Application is hereby made for the approval of the dctai.cd statc,. ua tine plans and specifications herewith submitted fo' the bead 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 rvieh and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein t xcified or not. A copy of approve& plans and specifications n►ust be kept at building during progress of the work. My CoMrtis:tion Expires C r Registered Architect and /or Engineer r „ P)tP PPP' f •lPPPP9St•!WS•••PP!PPPPI£M .t Name and address of licensed cons ctoa d t 1 __/ fl Location and p lcga/1 descri tion of lot to be built ore: _ t Lot. 1/•l1� Mock SubdIvision�� 3 Le. f . M /l „ r -O D. Street and Number where work is to be done 6 2 A.-'.., ' 3 5 " 7 " State work to be done and p rpose of k uil4i g (by floors) .E.i.�! 2 0e r' / 7 . 6 .. Lie / (7 :e; 8 �1< �/ c br cofj /RSA' _. .and for no ethesr p:;rga . New Building Remodeling Addition Repairs , No. of Stories _ To be constructed of in Kind of foundation Roof Covering �� n 1 °O•C`tJ Estimated Total cost of improvements $ '�� � Amount of Permit t ,,,qa ° 6 'e Zone cubage required _Plan Cubage Distance .to net nearest building Size of Building Lon _ ............... . - ........- Mazunum 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 permit does hereby certify that he understands and accepts his obligations as an cmnloyer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supnla men¢, and has complied with the provisions thereof, and will retuire similar compliance from all contractors or sub - contractors employed by !any in the work to be performed under this permit; and will post or cause to be posted for inspection on the fate of t;he work such pui:lic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra n, n work t performed LTe €'r . ;rs permit, as are licensed by Miami Shores Village. i Sined C . ,) !�r`f� Remarks ( 8 ) -• -- c e 7-- / 7 .7 STATE OF FLORIDA, COUNTY OF DADE. D ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, psrival:y np• peared _ -_ to t e vae:1 k 2, 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 201a3 fa 4s therein by him stated are true. Permit No.. ft/ 2 © Date ® l,.,/ -6..._._._ Read, Sworn to and Subscribed V efore etc. `►, Disapproved.. �1 l Date .._...- -•--- ` e a Notary Public, State of Florida (Sizzled) DATE ChairmanMember ......._ ......................: m. _...._...._........._... Mcraber Member Member .. .. _-- •-•- -....._..._. _ ...._........ Member Council Approved Date r sapprovsdl iwnte NOTE: A charge of $1.(1O wilt be made for peaking corrections or changes to this applications after nppraeva0 has Uwrea the Planning Board. A re- inspection fee of 41.E will be cluvged whe sezeh re- inspection is tome necessary by improper notice for ¢taspsvti Qc::ty materials and/or workmanship. M AM ES V L LA E BU>JLDONG ENE ?ECTKIN DE1PQRT 1EN7 AFFL MA BEN FOR U LD NO PERMIT Application is hereby anade for the approval of the. detailed statement of the plans end specifications herew:th submitted ua' 2112 °o::i :ti• ing or other structure herein described. This application is made in compliance and con'ormity with the Building Qhdi: ante of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all :cafes tad regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specifitd or not. A copy cf €p rev glans and specifications must be kc172 ct building during egress of the work. New Building Remodeling Addition To be constructed of bind of foundation State work to be done and purpose. of building (by floors) y ©!9 r $ t J , (D g 3 a '; J F L-30 L.h° okt, A -90 1b slit calv ?.ashAn9 6 2 O J J .'� Owner's Name and Address . 8 J 1. �3 Y� d...._. 1 U O " ° Registered Architect and /or Engineer Name and address of licensed contractor Z b o n o u i R O o f i n 9 Co. 73E7 (�' o W. I�l �� ct i� )'L C t° Location and legal description of lot to be built on: Lot Bloch Subdivision Street and Number where work is to be done 62 N E. 93rd St. and for no o2hr Repcira X No. :i Stories g :3:-.710 Roof Ciiov rim ° 1:• +��, �� r.;, ;� sass Estimated Total cost of improvements $ Amount of Permit a 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 End its construct . en may be sent to The undersigned applicant for this building permit 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, i}'ennanent Suppkinent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empleyez by lain 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 p'0,4;iie notice or notices as are required by the Act. The undersigned agrees to employ only s subcorlractors, on wprk to 1 rfor 3 tind t i er s pennit, as are licensed by Miami Shores Village. Remarks (Signed`) ,,-,/,- ,/ - -- / i peered STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and tall¢ acnowledgments, pe.7so zally a- tO Me eyed , 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, End that he did sign the saute, cam" ai�.,t cE1 fFS3, therein by him stated are e. C , Permit Rro.__ -.� � e - Date till _ -- .._ k _ .. �- _ ._. ..--- ._._._ Read, Sworn to end Subscribed before me. Disapproved kk __� ' �/ Date fl (Signed) \,�� ' gAk l� Building inspector Notary Public, State of f foride My CoMrrnissioan Expires PLANNING BOARD DATE Chairman Member Member _ Member .____._......... _..... _.___............. _..._._-- ............ _ Member .. __...-- - - - - -_ ...- __sass_ Member Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for mtaltin3 corrections or changes Co this cep¶ :cotioat after approve has he c2 chtertaii fram the Planning hoard. A re- inspection fee of 31.00 will be charged when such vie-inspection is made naaccaa tty by i p.: - x.r actin for ina ai materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) WAM APPUEIATOEN FOR lr UL Lot. Block Street and Number where work is to bz done State work to be done and purpose of building (by floors) c\. ° Date Building Inspector Chairman Nfernber Member Council Approved Dee NOTE: A charge of $1.00 will he made for the Planning Board. A re-inspection fee of $1.00 will be charged when 3%26 re-in materials and/or workmanship. HMRES J,L 9 31RLDING ONSPECTBON DEPARTMENT !NG PE Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted ctor the in or or other structure herein described. This application ds made in compliance and conformity with the Building Ordinance of Miamd Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and afl ules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specific:1 or not. A copy of approved plans and specifications must be kept at building during pmgress of the work. f 11 'g Owner's Name and Address Ches Hayo 62 M0 F,'.cot-- Registered Architect and/or Ensintw , ------ --- ZbsnouT Ruofing Cc o 735? N. W0 1 Cto Name and address of licensed contracto? _ Location and legal description of lot to be built on: Subdivision 251 No E I.OSth St Ramove flEt gxavol sactcn wcot u2:ti 1-30 Lb c?oat, 2/7 Lb ?sits butt up asphE:::, anL; g'A?Elvs1 New Building Remodeling Addition Repairs' X No. el Stories To be constructed of Kind of foundation Ifloo Oovering . .... : ..... ..._ 00 Estimated Total cost of improvements $ 6000 Amount of Permit $. Zone cubage required _Plan Cubage Distance to next nearest building Size of ]Building Lot Nfaximum live load to be borne by each floor I hereby submit all the plans and specifications for said build:ng. All notices with reference to the building ar.d its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of :Florida, Permanent Supple:nem, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by lira 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 _sabeorrtractors, on work to be,performed under this pennit, as are licensed by Miami Shores Village. /, Remarks... (Signed)... !- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknow:edgments, persovally 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, ad that al!, 'lasts therein by him stated are true. Permit No. Date ?7')i tr'• Head, Sworn to and Subscribed before matc. Notary Public, State of Florida My Corr.mission Expires MANNING 3000 DATE rr gad for R.© e2hel to one well LIEct5VJU, Member Member Member Disapprov ............ '07tte :malting corrections or changes to the appE:catien thes typwalvall iaa hem nb2th-Lee !at ection is snack necessary by improper not!zo k 5rtspt-a'aElm e Jtizzlly