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546 NE 92 Stvt- Application is herebyutade for the approval of the detailed statement of the plans and specifications herewith submitted a build- ing or other structure herein'scribed. 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 Street and Number where work is to be done APPLICATION FOR BUILDING PERMIT STATE OF FLORIDA, COUNTY OF DADE. ss. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Block Registered Architect and /or Engineer____ �t" Name and address of licensed contractor_ Location and legal description of lot to be built on: Lot 1 Subdivision State work to be done and purpose of building (by floors)__ Chairman Member Member Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. \ Date _^ N o Street Notary Public, State of Florida and for no other purpose. New Buildin Reideling A on ___ Repairs No. of Stories To be constructed of _ '' Kind of foundation � (� F __41 'y_ '__ _� Roof Cov ring y _ < Zone cubage required i ""1 irl *Maine Estimated Total cost of improvements $ 4 A ount of Permit $ Distance to next nearest building I Size of g ilding Lot_ = 1 ___C_'_ Maximum live load to be borne by each floor , 19 ` ' 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 inspection on the site of the work such ublic notice or notices as arc required by the Act. The undersigned agrees to employ only suc subcoactors on w k,to be performed under this permit, as are licensed by Miami Shores Village. • dam / " I " ff 1 Remarks (Signe 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 Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) My Commission Expires PLANNING BOARD DATE Member Member Member Date Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Wzi TorpiL : Q 40 el t23,2. T;k-clupszt WS" c i a G u z 12,04 res% stco‘it i2 1 92.9 • 5 13b.3 2q1.210..orz tsi t 0 S � i L %. - Vz = 3 $ 36= L1C `= t?. $,33 4210 - IZ:Zc 139 z .�( 1Yr2. q, 12 QS rz , tr ot j 3 SSC) f4?(VALV Type Insp'n AgOS MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin : Inspection Request Date l r / a Permit No.. 3 6V / 1 ‹9& No Name )" n a- 2 Inspection Date Approved Correction Re-Insp'n Fee Address Company j� Q Phone # ec- g 33 1* MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildi g Inspec *on Request O L � Date Z J I 1 Type Insp' n ! ✓t a L / 1� U 0 ` Permit No. j 1 - ‘,700q `� I 2,0 Q ,'mil S Name lJ l 'e ? N � � � •® y Address .� '6 2 s Company /l' S PO d L5 Phone # )- pie(, Inspection Date 3 Z Z — S Correction Re- Insp'n Fee L MIAMI SHORES VILLAGE K s BUILDING DEPARTMENT CA 305- 795 -2204 Bu I lding Inspection Request Dater /pOcr5 Type Insp'n �l g 'Q �� t5id Permit No. gP0-1-1(1a6 Approved Correction Re- Insp'n Fee 'ICS Name Address Company 14 Phone # Inspection Date I 0 Pe/pte.e. pAAft. tAi sir4 --- Miami Shores Village Building Department qv 0 \, 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 J Tel: (305) 795.2204 Fax: (305) 756.8972 Tenant/Lessee Name BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) -if ' t C) L1 ( }�j T i U Phone # �,� a - 7.51?"— /6 vs Owner's Address ' t) (v N E q 2_ S } • J City L4 II ?t'Yt l State - EN Zip33 ) 3 g Job Address (where the work is being done) '31) 1■) L ' Z ,St" City Miami Shores Village County Miami-Dade Is Building Historically Designated YES NO Contractor's Company Name ID '5 H i>ni) t C; t1 5 Contractor's Address ' 1 1 ) 1 . C; G i"l� -'' • 1 , r c -1-1 -- i 2 Cj City f-- tt '1i,r\ ( State V r ; c1 C'.` Zip 5°5i`j Qualifier —'1 , i ` r1 L ly c . Th -i 1 �- State Certificate or Registration No. Certificate of Competency No. t, ,(DC fL' 1 ( )y Architect/Engineer's Name (if applicable) ivy t am> Phone # C:en )?. 22 a s gc20 $ Value of Work For this Permit /S' be d i Permit No. ,r). Master Permit No. Electrical Plumbing Mechanical Roofing Phone # Phone # Square Footage Of Work: Type of Work: Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: ; n"..: c1r� 1 (�vc 7 - 1 /,.cI. % * * * * * * * * * * * * * * * * * * * ** ** * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** Zip 305 � • c 3 3 Submittal Fee $ . 2I.`(' .LC' Permit Fee $ EA - D CCF $ � CO /CC 3© Notary $ Training/Education Fee $ 3 , Technology Fee $ 1 3, - 7 S Scanning $ Radon $ %( c d 0 Zoning Bond $ 30C2 7 Code Enforcement $ Structural Plan Review. $ 5C • CC r7 t 6f1 a °IS- pf i I C.I. 3c C C Total Fee Now Due $ [ V (p (Continued on opposite side) 19 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to atta ment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which o• rrs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approve, • d a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 99 day of OCJ'# , 2O 1 , by who is personally kno to me or who has produced A identification and who did take an oath. NOT Sign: Print: My Commission * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 EN 0 ett EXPIRES: OCT 08, 200r t Signature ntractor The foregoing instrument was acknowledged before me thisg? day of (5 ' } , 20 P? I , by who is personally known to me who has produced NOTARY P Sign: Print: My Commissi as identi s: on and who did take an oath. r �� :RE' �n'• , � , r. l,; r y'• #9D25684 EXPIRES: OCT 08, 200 ))° X- li 4--.5/K4 Lc 4 NOV 1 51004 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/19/2004 Applicant: MARIO FLOTA Owner: FLOTA MARIO JOB ADDRESS: 546 NE 92 ST Building Permit Permit Number: BP2004 -1428 Contractor P & H ADDITIONS Contractor's Address: 3100 N. W. 72 AVE. UNIT 129 Local Phone: 305 - 264 -8092 Parcel # 1132060141170 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 1 BLK 58 LOT SIZE 98.600 X 127 Fees: Description Amount FEE2004 -11560 Building Fee $550.00 FEE2004 -11561 CCF $9.00 FEE2004 -11562 CO /CC $50.00 FEE2004 -11563 Training and Education Fee $3.00 FEE2004 -11564 Technology Fee $13.75 FEE2004 -11565 Scanning Fee $9.00 FEE2004 -11566 Radon $6.20 FEE2004 -11567 Builders Bond $300.00 FEE2004 -11568 Structural Fee $50.00 Total Fees: $990.95 Permit Status: APPROVED Permit Expiration: 4/30/2005 Construction Value: $15,000.00 Work: POOL AND DECK Signed: (INSPECTOR) Page 1 of 1 Total Fees: $990.95 Total Receipts: $0.00 aS� WHO, 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Location and legal description of lot to be built on: / Lot / Block --3 ' ! / / Subdiviision ' ' _.+"/ ‘.. and Number where work is to be done 7" 6 a u 9 State work to be done and purpose of building (by floors), state exterior colors (submit samples) Alt , 1._' - —' AL_ k _All New Building Remodeling r' Addition Repairs t/ 'lb be constructed of Kind of foundation 13.o fovering I *? iiEstimated 1btal cost of improvements S 0 3 ®0 ®� Amount of Permit S 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 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 obligatons 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 inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees, employ only such subcorlytactojs. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. } SS. /)7® � Date `� 19 8 No. S7 6 treeg 9,a St' No. of Stories Notary Public, State of Florida and for no other purpose. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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 foregoin 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 (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved S ate Disapproved Date NOTE: A charge of $25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. so+ MADRLD sr surrE 105 CORAL GABLES, FLORIDA 33134 TELEPHONE: 444 -7692 • 00 0' G4 aI THOMAS J. KELLY, INC. SURVEY NO 3614 ' -/) LAND SURVEYOR SHEET OF 2 S I ETCH eF SURVEY SC4LE: 0 • }/0� PPS a7K eme $ £ tv'S 4/ State work to be done and purpose of building (by STATE OF FLORIDA, COUNTY OF DADE. ss. -2 (3 ( ,2 — Permit No.. Date Disapproved (Signed) 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. Owners Name and Address ......... i Registered Architect and /or Engineer.... A ....... E C `\,( .... za.. ..,...1 " l �. Name and address of licensed contractor 1ALA.. IN/ ...�.L�. Location and legal description of lot to be built built on: Lot I Block ,J .. Subdivision Street and Number where work is to be done floors )......{.,..... 1... 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 t I hereby submit all the plans and specifications for said building. All notices with reference to the buildi rtg 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 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 under this permit, as are licensed by Miami Shores Village. Remarks 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 foregoipr g application, and that he did sign the same, and that all facts therein by him stated are true te._ Building Inspector Chairman Member Member _..._._..._._ .__._ Council Approved Date , .t...... - .. a _. . .._. PLANNI C BOARD ..... .DATE ead, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, Member Member Member . 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 aloud. A re 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. be sent to - L Disapproved (Signed) Estimated Total cost of improvements $.....? 1 e Zone cubage required Distance to next nearest building Chairman Member Member ...... _.._._.. - - Council Approved MIAMIISIHORES VILLAGE BUILD NG/ INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address -14.e? A cre No..syr Street—±.." v ' Registered Architect and /or Engineer ...- ...... 415.'$ f • .MA ?/4 r= � - Name and address of licensed contractor O "C'"' t ' �`. 4 Gov c� Location and legal description of lot to be built on: Lot / Block sR Subdivision Al/40W - CHP — rec av Street and Number where work is to be done % _ fZYQ -S ....._ State work to be done and purpose of building (by floors) Pc" - dam G v and for no other purpose. New Building Remodeling Addition ✓ Repairs No. of Stories `'- To be constructed of G,c$S Kind of foundation C '"vG? Fz"E - Covering 7" a• t Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All noti with reference to the building and its constr iktion may PLANN 'C BOARD Amount of Permit $, plan Cubage Size of Building Lot tt ::.. .Vita .. .K «..�,... 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 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 under this permit, as are licensed by Miami Shores Village. Remarks... (Signed ) 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.._..__ d Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires .DATE Member Member Member Date Disapproved or changes to this application after approval NOTE: A charge of $1.00 will be made for making corrections the Planning hoard. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. Date has been obtained from for inspection or faulty 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 .� D S — No... Street NF. 9 ? 4— Registered Architect and /or Engineer. _ Name and address of licensed contractor S .�L c Location and legal description of lot to be built on: Lot ' Block Subdivision State work to be done and purpose of building (by floors) 1 2-. '1'1° I) 4 — — Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. SS. 1—i-7: ? Permit No. ._..._ E Date Disapproved .... Date.. (Signed) (�'t.��t/ ` \ �r Building Inspector MIAMI SHORES VILLAGE and for no other purpose. New Building Remodeling ,- Addition Repairs No. of Stories To be constructed of Kind o foundation„ Roof Covering Estimated Total cost of improvements $ Amount of Permit k 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 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 subcontract ors, � on work to @ b _ performed under this permit, as are licensed by Miami Shores Village. / j/ j / l�s 1 Remarks (Signed) 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 therein by him stated are true. Chairman Member Member ...... ST /' eS _._ Read, Sworn to and Subscribed before me. Council Approved Date 3 - PLAN NG BOARD DATE .3 7 5'9 .v_ 7 9 L. < f �..�*� 0 6-- - -2 ' 1, to me well known, Notary Public, State of Florida My Commission Expires Member Member Member ...._ _ ..__... 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 oe faulty materials and /or workmanship. Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. ss. 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. pp�� No - 5-7 .C..._ . Street—, C Registered Architect and /or Engineer Name and address of licensed contractor Xi. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done c-CVC " State work to be done and pu ose of building (by floors) z " — A .s ..;,:.a and for no other purpose. New Building Remodeling Addition Repairs v No. of Stories To be constructed of Ki f foundation Roof Co-vv ing •L90 �- 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 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 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 suJntr aftors, work to be performed under this permit, as are licensed by Miami Shores Village. -7- Remarks (Signed) aElf —e g 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.. _ �� ��� Date ���� Read, Sworn to and Subscribed before me. Disapproved .. Date (Signed) ' Building Inspector Notary Public, State of Florida My Commission Expires PLANNI 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 fee of $1.00 will be charged when such re- inspection is made necessary by improper notice foa inspetittrt or faulty materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. 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. Q Date. .._ � .__.. fi r ...__._..._._._..._ .... , 19.� � (. n- Owner's Name and Address .... t' , ,,, �' ........_ 1111 No f�t�, �1,c Str eet v' /,1)14,-, I Registered Architect and /or Engineer Name and address of licensed cgp � s /'� !171 Location and legal description o to t be built oon j l '���� Lot Block Subdivision Street and Number where work is to be done 5 i Sr ..v �i �. dc-'`'" 4 , �r State work to be done and purpose of building (by floors )..f' 4 ' y — ••• - -• __._ . y_, - _ � Pyi% r � ��° _ _? and for no other purpose. New Building - Remodeling Addition Addition Repairs No. of Stories... To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $. /& 4 6 " . " .g'' Amount of Permit S. ' ' 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 5066, 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 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 s ntra ors, work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed' ^ ° _. C �' °� t )! Disapproved / . (Signed) .. ' . D L� Y-... But ding Inspc o /1-1 1 / FLT rJ 4/b „1, • „1,, -.1 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 tru Permit No..____ S Date ' � Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ANNING BOARD DATE Chairman Member Member Member Member 1111. 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 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. UILDING - LECTRICAL LUMBING OOFING 'wrier of eliding 0 _ rchitect ontractor r - Builder gal Lot ascription ddress of "tiding CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE,' FLORIDA PERMIT N? 3209 Work to be performed under this Permit u Value of Project $ DATE -/ 195 ` Contractor's / . License No 1 Subdi- vision Amount of Permit $ This permit is granted to the contractor or builder named above to construe the building or to install the equipment or device described in the application refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, -wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ;e 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 wiled is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations rtaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work ne by his agents, servants or employees. Signed. BY - t 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 rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- .ting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY e'w ING E* • CAL ❑ PERMIT N? 10442 G Owne o Buil ' g rchitSct oniractor Builder gal scription tress of dir g Lot MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Amt. of Permit $ DATE "" -- 195 Contractor's License No permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application r in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any th work is not done in compliance with such ordinances or if the plans are changed without orization. A further condition upon which this permit is is the understanding that the contractor or builder named above assumes the respo ' lity a thorough knowledge of the ordinances and regulations -g to the work covered hereby whether shown on the plans or draw' or in the s specifications and that he assumes responsibility for work s agents, servants or employees. r ' ', BY SPECTOR eration of the issuance ' ='• gre .erform the work covered hereunder in compliance with all ordinances and regulations and in strict conform wi r.'' ngs, statements or specifications submitted to the proper authorities of Miami Shores Village. ermit I ^ 3/spon iii or all work done by either, myself, my agent, servant or employee. LC_? I / ♦ t t _t L CONTRACTOR 'flit ' .IILin1t / BY AUTHORITY