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715 NE 92 St (6)BUILDING ] ELECTRICAI3 PLUMBING j ROOFING 1 Owner of Building 1 , V Architect Contractor or Builder Legal Lot Description Address of Building c CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 3638 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Contractor's License No. Amount of Permit $ This permit is grid to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compli0 with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with say plans, drawings, statements ot�ecifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if t work i s not se in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted i s the understamg that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the done by Work d hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work Y his agents, oe y mints or employees. --/ / j ,/ Signed ! ` f !" , ..w» f I • BY INSPECTOR • In consideration o the issuance to me of this permit I agree to perform the work cove* hereunder in compliance with all ordinances and regulations Pertaining thereto and instrict conformity with the plans, drawings, statements or specifications,6'ubmitted to the proper authorities of Miami Shores Village. In as coming this Permit I assime responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY eAO° 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 Street and Number where work is to be done STATE OF FLORIDA, I COUNTY OF DADE. ss • Building Inspector 40 State work to be done and purpose of building (by floors) Disapproved Date (Signed) Subdivision. Date , , 19 No... C Steed, 2 S / r ( 1 )2 S), e New Building To be constructed of Ki4.. of foundation Roof vering Estimated Total cost of improvements $ .y e0 Amount of Permit $. Remodeling Addition Repairs No. of Stories and for no other purpose. 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 pennit 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 subcontra rs, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) h .. .„„,/ 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 a ' Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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- inspection 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. permit, as are licensed by Miami Shores Village. 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. Date - ----- G ' Owner's Name and Address - �: -. f .c....• ' % - .. - :.c... -4 , -. _ No ' 1.... Street `� 5 Registered Architect and /or Engineer.. ' ' - _ _ :............. H .y _ Name and address of licensed contractor., - ? -- ' - "% %-c - ` 's - `• P — f' Remarks._.__.__.......... _ (Signed) Location and legal description of lot to be built on: Lot Block � - Subdivision Street and Number where work is to be done ; ( , -� i. 7 State work to be done and purpose of building (by floors) - �-,-f . < -? e -._, 1 _ a 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 $ rl Amount of Permit $ c - 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 submi all)the plans and s ecifications _for said burring. All notie'es with reference to the building and its ,c onstruction.may be sent to i 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 Will: notice or notices as are required by the Act. The undersigned agrees to employ only such subc ractor on wor to be per under this d• STATE OF FLORIDA, COUNTY OF DADE. f 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 refully read the foregoing application, and that he did sign the same, and that all facts therein by him stated true. /, Permit No._..& Date._ Read, Sworn to and Subscribed before me. Disapproved lint - .7 _ Notary Public, State of Florida (Signed) LA, , - ,,6 . w 'v -- : y r U Building Injector 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- inspection 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.