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500 NE 92 St (9)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER- MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 4060 t DATE t 19 - Contractor's License No. Work to be performed under this Permit B1 Subdi- vision Address of Value of 11 Amount of Building Project $ / :s 4 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, servants or employees. BY AUTHORITY 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 cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ♦•IOT IMPS 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 he ein specified or not A copy of approved plans and specifications must be kept a t building during. ragress of the work. !� Date..._..._.. �.� :7 1 _ . %' _._...._....19. � %d.14• <;f ;; . ... .44. 4' _ No.,; �� (:.... -.... Street:4.......✓.:...' ` '$/ Registered Architect and /or Engineer C.... It" ••t:,,••t,:`f ^.:•tl•••• St!.... Name and address of licensed contractor .... — Location and legal description of lot to be built on: Lot Block Subdivision.. K _ H Street and Number where work is to be done C- <.2 j ''' < Owner's Name and Addresk: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT State work to be done and purpose of building (by floors) l .. _... _.__ and for no other purpose. New Building r ., , Remodeling Addition Repairs No. of Stories To be constructed of , .0.1,1 Kind of foundation Roof Covering Estimated Total cost of improvements $ /C C ' c c Amount of Permit S. zi 2 , 0 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 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, 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 ns{iection on the fte. f e work such public notice or notices as are required by the Act. The undersigned agrees to employ only suet s�f bntractors, n ;W ork tbobe performed under this pennit, as are licensed by Miami Shores Village. / r Remarks (Signed....' I t...„f__ 1, sk /.,• y., (1". '_. 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 tated are true. Permit No...___ Date p' �:_ . _._._ Read, Sworn to and Subscribed before me. Disapproved , ' Date._ (Signed) Building Inspector" My Commission Expires PLANNING BOARD _.._.... ..DATE 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 approval has been obtained from the Planning Board. A re- in.pec•tion 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. Notary Public, State of Florida MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement of the plans and specifications herewith submitted for the build inc 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. Date D � - 3 0 19 $� __111___1._ _.__ _�. . Owner's Name and Address . 8eALD — No.... Q....._... Street--WK q,: Registered Architect and /or Engineer 14r Name and address of licensed contractor .■M$+kR6it Co 6.S1'. — Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 5011 WE °' 4 _ 'un State work to bt done and purpose of building (by floors) ZIAQ rriSeZ IgiS tiVACr PAN ti4 — and for no other purpose. ---.. Ncw Building Remodeling Addition Repairs .... No. of Stories To be constructed of Kind of foundation Roof Covering Estimate 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 building and its construction may be sent to.. STATE OF FLORIDA, COUNTY OF DAD E. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take peared _. Date.._........_........_..._ Buil g Inspector Chairman Member Mcmbcr Council Approved Date NOTE: A charge of $1.00 will be made for making the PL Board. A rc•rnspection Ice of $1.00 will be charged materials and /or workmanship. BUILDING INSPECTION DEPARTMENT PLANNING BOARD DATE Member Member Member Disapproved trt .., . 1.11 ., coot t Hlwthy acknowledgments, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires corrections or changes to this application after approval 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 Supplement, anti has complied Ntith 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 f inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such beontractor work to be pNforme d under this permit, as are licensed by Miami Shores Village. ,) • r . =lam _._. Remarks _ (Signed i __._. • ��• personally ap- 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 Date III- ° °-Sf 6 Disapprov (Signed) Date has been obtained from when such re- inspection is made necessary by improper notice for inspextion or faulty 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. Owner's Name and Address._.. �� (/ Registered Architect and /or Engineer Name and address of licensed contractor -_ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) 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 $ ' ege) 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 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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b him in the work to be performed under this permit; and will post or cause to be posted for inspectio�'on the • a of the work s} eyelpbli by or notices as are required by the Act. The undersigned agrees to employ only such subcon . "ors, c tr to ed under phis permit, as are licensed by Miami Shores Village. Remarks ( STATE OF FLORIDA, COUNTY OF DADE. ss and who, being by me of the above described therein by him st,6ted Permit No Disapproved (Signed) Chainnan Member Member ._ ._ 4 , x /i- 'ew Building I1ts ctor 4;‘ ij //V /4/(' �2 b Date Street 47 /'o' -1 6J47 , 19 e- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, first duly sworn, upon oath deposes and says that he is the construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts true. Date __ —• 2.7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. S/ 2 6-) / G/r' x 66 , L R ,o,4 e-JArv 1