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ROOFINGApplication is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the buih- 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 /) P�<2 A . a L> 0 1 State work to be done and purpose of building (by floors) /c( ✓ ''' ' < and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation oof Covering r - '-i Estimated Total cost of improvements $ t ° Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building 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 cons 'Iruction 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. (Signed) �� �� ` , e Remarks STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmepersonally 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. a Permit No J _` Date ` 2 Read, Sworn to and Subscribed before me. Disapproved �/ Date (Signed) C`e -, /J Building Inspector / Chairman .. Member Member Council Approved APPLICATION FOR BUILDING PERMIT SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Ao 7 • Date.._ - Y No Size of Building Lot Notary Public, State of Florida y Commission Expires_ PLANNING BOARD__ __ _ DATE Member Member Member _Date Disapproved ./ 91 Street 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. °° - -- • f i r Charles }fardingham Nagle Roofing Company 2 ::,07 N. E. 4th Avenue Miami, Florida Dear Mr. Hardinqham: (_: f icer ilughes Miami Shores Police Department h all t (17. hot etf ittla e U F L O R I DA 3 3 1 3 8 May 4, 1973 Mr. Donald Muller called me and informed me of the fact that he is no longer the qualifying agent for Eagle Roofing Company and Edith }call o: the H..de County License Section verified this fact. I was .i:so informed by her that Eagle Roofing Company is not a qualified roofi company therefore Miami Shores Village Permit No. 15491 — Dr. Allenly, 1009 N. E. 94th Street, issued May 3, 1973, was issued with f raudi. a t 1 o.rmation. I -t. is ces-.ary '.o cancel this Hermit and inform you the importance o. ge ::a the situation corrected as soon as possible. "rink vuc. in advance for your prompt attention in this matter. di`h i ?all :Jade County Occupational License Department Very truly yours, William R. Bradford Building E. Zoning Inspector Miami Shores Village JOHN W. McINTYRE �iI LA�.F MANAGER BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other stricture 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 budding during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Ac/9 .�>° Location and legal description of lot to be built on: Lot Block Subdivision ss_ f Street and Number where work is to be done � d a e� `�-�: , A44/0/ .�J...C�- State work v �,9 ork to be done and purpose of building (by floors) 7 O /eG�,' /6 lei 3 7 ,.�r a k9/e e5 !.f ....... _c % and for no other purpose. New Building Remodeling Addition Repairs No. of of Storms 04/e _ To be constructed of Kind c f oundation Roof Covering 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 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 sub= tractors, on worx to be performed under this pennit, as are licensed by Miami Shores Village. Remarks 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 - -- 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 r L� ` ,� Read, Sworn to and Subscribed before rne. e�^ 50, dZl Date__ _.:__.._._., Disapproved Notary Public, State of Florida (Signed) c� Building Inspector ", My Commission Expires PLAN INC BOARD DATE Chairman \Icrnbcr Member Council Approved Date MIAMI SHORES VILLAGE ./// (� ... No. street .fC.K. NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re-inspection fee of 51.00 will be charged when each re- inspection is undo ziassnrp by improper rtotic materials and/or workmanship. (Signed) 7-3eS•7 & to me well known, Member Member Member - • - __- - Disopprovetil Date has been obtained from for inspectirm or faulty JAN. DEC. NOV. OCT. SEPT. I 9.00 CriAorti rros SEE REVERSE SIDE j . • NAME: #9 1972 -73 Business Address fi Trade Name Corp. Name Melling Address City Zip e This is tq certify that 3- TYPE NAME OF BUSINESS ORGANIZATION AND MAIL TO BUSINESS ADDRESS 2307 NE 4 Ave Dade Co 37 Eagle Roofing Co 2307 NE 4 Ave Miami F1 33137 Is hereby licensed to engage In business, profession, or occupation specified hereon. Payment received as certified above Dade County Tax Collector, Miami, Florida 33130 NAM Eagle Roofing Co CORP. NAME MAILING 2307 NE 4 Av A Miami Fl" 33137 CITY STATE ZIP IS HEREBY LICENSED AND AUTHORIZED TO DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. THIS IS TO CERTIFY THAT THE FOLLOWING NAMED PERSON IS QUALIFIED UNDER THE PROVISIONS OF CHAPTER 10, CODE OF METROPOLITAN DADE COUNTY AS A Donald Muller 1 THIS CERTIFICATE DOES NOT PERMIT BEARER TO CONTRACT CERTIFICATE HOLDER'S COPY raCM 12341-1e REv. 1 071 Ip 02799 COC9Tat�CTon'S AUDIT NUMetR) CERTIFICATE OF COMPETENCY - BUSINESS METROPOLITAN DADE COUNTY EAGLE ROOFING COMPANY STA l t OF FLUhIL: EXPIRES SEPTEMBER 30, 1973 MUST BE DISPLAYED IN A CONSPICUOUS PLACE 2799 MUNICIPAL CONTRACTOR'S OCCUPATIONAL LICENSE DUE . 1ST SEP 1972 EXPIT. RES 30 9 X1913 OCT THIS LICENSE ISSUED IN PURSUANCE OF METROPOLITAN DADE COUNTY ORDINANCE — 66.2 BUSINESS ADDRESS TOTAL. AMOUNT x 1 5 5 9 SEF 6 72 PAYMENT RECEIVED AS CERTIFIED ABOVE — DADE COUNTY TAX COLLECTOR, MIAMI. FLORIDA THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED BY RECEIPTING MACHINE SHOWING NUMBER - DATE - PERSONAL CERTIFICATE of EARI_4 THIS CERTIFICATE EXPIRES S EPT. t 30, 19731 + ��� � T � ¢IC " r• 9 P. THIS (SOLE PROPRIETOR ❑, PARTNERSHIP 0, FIRM (X OR CORPORATION 01 having met the requirements under Chapter 10, Code of Metropolitan - Dade County, as amended, is hereby certified AS A done under the direct supervision and control of the Donald Muller Line Sec. 1 301 j C M3Y6 Eagle Roofing Company 2307 N.E. 4th Ave. Miami, Fla. 33137 5::" SEF 672 STATE NO, CERT. OF COMPETENCY TYPE OF CONTRACTOR Spec Bldg 9 AMOUNT • Cert. No. State No. RENEWAL NEW LICENSE TRANSFER - ORIGINAL TAX Type Spec Bldg 9 2799 175-00 ADD'L CATEGORIES 175.00 1 75.0 • Rooms Seats Employees c:.0 " AMOUNT PAID A Pgrmit Beare p(�ontract { r CERTIFICATE IS VALID ON A COUNTYWIDE BASIS IN THE UNINCORPO- D AND IN ALL MUNICIPALITIES OF DADE C ALLI THE PRIVILEGES AND RIGHTS THEREUNDER ARE NOT -- TRANSFERABLE AND THE INDIVIDUAL CERT!. N IS RESPONSIBLE FOR FULL WITH ALL APPLICABLE - RL5t1- CHAPTER 10 OF THE CODE OLITAN DADE COUNTY. ' :2 "I'D • Ad E1) agLOV - i Acct. No. Amount 9.00 THIS LICENSE VALID ONLY IN 39795 OMUNICIPALITIES LISTED BELOW: LICENSEE MUST REGISTER IN CITY WHERE WORK 18 DONE BAL HARBOUR BAY HARBOR ISLANDS BISCAYNE PARK CORAL GABLES EL PORTAL FLORIDA CITY HIALEAH GARDENS I SLANDIA MIAMI MIAMI BEACH MIAMI SHORES NORTH BAY VILLAGE NORTH MIAMI NORTH MIAMI BEACH OPA LOCKA PENNSUCO SOUTH MIAMI SURFSIDE SWEETWATER VIRGINIA GARDENS WEST MIAMI I Z O r 0 0 C a -4 C IR 41 CONTRAVe6RIS •KUNYA E -T �a .•,.....25 FC�NTRACr DRI�r (NUMBER X342 r #9 Roofing) CI-Z0.71 6 o-z 0 3 0 w �•..�, following named qualifying agent: .+ ^+ N C O TRACTOR; with o 2010 N.W. 107th St. ADDRESS: Miami. Fla. (OF QUALIFIER) This certificate is valid on a countywide basis in the Un,nc Areas and in all Dade County Municipalities. The qualify.ng . organization listes1 herein hove been duly qualified by the Cor Trades QualifyingBoard:Thircertificate becomes null and vo,• time as the qual' ling agent name herein is no longer ossoc the above nam organization. THIS CER IS D UNTIL SEPTEMBER 30 (Secretory Construction Trades Q6oIifiing1oord ' i s ` • 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.. Owner's Name and Address. .Y,.. 6/L4 2se.4.. �„ .... No... /lp ...,, Street-6 e.: 4 : 2P *. Registered Architect and /or Engineer ...., , ,,,,,,,,,,,,, „,,,,,,, ,,,,,w..,M,,,,,, -,.. Name and address of licensed contractor...64ZZ_ ° liia. Arc” ..V.. . „.e .A?.r..NEZ t r . Location and legal description of lot to be built on: Lot Block Subdivision ............... STATE OF FLORIDA, COUNTY OF DADE. j ss• Date Skeet and Number where work is to be done /400 /? .4j C..... . „.._... _....._ State work to be done and purpose of building (by floors)...-... AU?. ,r Add, 't' ° �..„ 312 71. *III:. and for no other purpose. New Building Remodeling Addition !( 'Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 774 e• � Estimated Total cost of improvements $.9® Amount of Permit $F `J5- - .Plan Cubage .Size of Building Lot Zone cubage required Distance to next nearest building 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 subcontractors, on work to , be performed under this permit, as are licensed by Miami Shores Village. Remarks - -- __ .._._.. _ ... (Signed), Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persortally 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 Permit No. 0 Disapproved d e.„ (Signed) �'°�� /� Building Inspe- or LANNINC BOARD DATE Chairman Member Micrnber ...._ ._ ......... ....... ... ... •_ - -_ -_ Member Member -- w Council Approved w - _ - - - -._ Member ...._.._ ................__ _ 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 ]3oard. 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. diroa ZONING LINE 81 GRADE SURVEY FIRE PREVENTION PLUMBING H/J CITY OF NORTH MIAMI, FLORIDA OFFICE O► BUILDING INSPECTOR APPLICATION FOR BUILDING PERMIT 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 and Zoning of the City of North Miami, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of North Miami, and all rules and regulations of the Building and Zoning Department of the City of North Miami, 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&ar i._5. 19.72.._... _......_.._.._.._......., :9 Owner J. D Ellenby Address 1009 N.E. 94th ST. Registered Architect and /or Engineer: _ — — _ ........_...._..._..__....__. ._...._....__.___._._....__. --_ _...— Contractor Hall Roofing I6150 N. W. 37th Ct . Address Location of Proposed Work: Lot_ Subdivision._.._..._ Street and number where work is to be done: 1009 N. Li' • 94th ST, Description of proposed work:.___._._ and for no other purpose. New building ..............._..._.. Remodeling Addition Repairs...__.___...._ No. of stories... ..__.._...._._ tile To be constructed of_.._..._...._....� _ . .Kind of foundation .. .............__.__..___.._...._ Roof . .._.._.._.. - - - -- Estimated cost of improvements: l ✓. 0./ Oa Plumbing........._...__ ..__.._...._...._.... Electric.- ._- .- ____.- -_.- -_ I hereby submit all the plans and specifications for said building. I hereby make application for a Certificate of Occupancy. All notices with references to the building and its construction may be sent to: This space represents the lot; make outline of ground The undersigned applicant for this building permit plan showing distance of building from all lot lines. Do Not Write In T is Space does hereby certify that. _...__...understands and accepts —..— —. .._.........._.._...obligations as an employer of labor under the Florida Workmen's Com- pensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has corn- plied with the provisions thereof, and will require similar conpliance from all contractors or subcon- tractors employed by_.— ..— ...— .— ...— _.._...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 this act ' 7/f Signed• -" - -- - ._ t r ) (Owner Bad /or Con rraa ctor) Address: ' ._ Board of Adjustments Approval: Planning and Zoning Board Approval: Council Approval: Sq. Footage: Estimated Bldg. Cost: Bldg. Permit Fee: Certificate of Occupancy Fee• Total Fee: Approved by Building Inspector: 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 Subdivisio lA®9 Street and Number where work is to be done s Permit No _ Disapproved ( Signed) MIAMI SHORES VILLAGE Date Date Building Insp c r 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. 6 Chairman Member Member Cobncil Approved Date 1 Date No Street 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 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, Pennanent 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. •_. I ';6 Remarks (Signed) � - oundation Roo fovering y9 E. ) 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. �•. - Read, Sworn to and Subscribed before me. PLANNING BOARD DATE 19 Notary Public, State of Florida My Commission Expires Member Member Member 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 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building 0 MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N° 2 6 9 j t Contractors . . i=c= e No. CONTRACTOR OR BUILDER Work to be performed Bl Subdi- vision DATR � f er 4 • �. Value of I Amount of w Project $ Permit $ / 195 `~ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application 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 specif ications 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 responsibility for work done by his agents, servants or employees. Signed. BY 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 Application is hereby de for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herei described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, an all provisic sof the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building pivisinn of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept ,`'.'building during progress of the work. tax Owner's Name and Address. MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Disapproved „ Dat ( Signed) Building Inspector BUILDING INSPECTION DEPARTMENT Registered Architect and /or Engineer Name and address of licensed contractor v Location and legal description of lot to be built on: Lot Block Subdivision Date 16 , 16 2._ Street---.d" 11.1,9 �� �%' �'G ✓� i �l Street and Number where work is to be done State work to be done and purpose of bm ing Eby floors) r21 C4� n � ; _ �� � �' . r' �„ - -r ter• �- - -• - --- New Building Remodeling Addition Repairs No. of Stories. To be constructed of Kind of foundation,, �. Roof C vering ./- ,, c Estimated Total cost of improvements $ ��'� Amount of Permit $ t 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 2 and for no other purpose. 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) ��� � _ ..... „: , .e, � 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 stated are true. oy Permit No V P--0 Date_,r` — � �a' Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chainnan 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT A is hereby mode for the approval of the detailed statvo,i•nt or sue plans and specifications herewith submitted for the build inc Of other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miarni Shores VIII.igc, Florida. and all provisions of the Laws n( the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iuilding Division of Miami Shores Village shall be complied with whether herein specified of not. A copy of approved plans and specifications must be kept at budding during progress of the work. Owner's Name and Address (gay `-L1 Gt Registered Architect and /or Engineer Name and address of licensed contractor 06 rho Location and legal description of lot to be built on: Lot Block Subdivisi Street and Number where work is to be done /009 N. b• 94iit St. Sato work to a ns and s�,o 7emove to �es2 'enc�" "iciw tji�irPia`1"ic / 3U 2Lt, 1-yu Lb f bui di a c op p o �c. ) pCalinZityA arid v e y u cerhera. h)ctit " ` too ...- ........_......__— _' New Building Remodeling Addition Kind of foundation.. Estimate Total cost of improvements $ /0,320000 To be constructed of (Signed) Disapproved .. \... _ Date Ciiainnrn Building Inspector \Icrr,ber p• MIAMI SHORES VILLAGE ONE= WOO Date..._...._.. tune 1/ 82 No. Stfeet- 7357N0 s „ /' /4LUrj . tt:""— - Date Disapproved It If and for no ether purpose. Repair X No. of Stories Roof Covering 35 4 1 4 .... : .... Amount of Permit $s. 20.00 Zone cubage required Plan Cubage Distance .to next newest building Size of Building Lot Ma.iununi live loath() be borne by each floor 1 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 underefands and'accepts his obligations as an employer of Libor under the Florida Workmen s Coni ensatiun Act, being Section 5066, Compiled General Laws of Florida, Permanent Supplement, and h.0 complied with the provisions thereof, and will require similar compliance from ad 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 inspectoo an the site of the work s h oldie notice or notices as are required by the Act. The undersigned agrees to employ only s , .. ° , s, ms work t y t ' under this permit. as are licensed by Miami Shores Village. /�,, Remarks (Signed)... ' �.Ev .4,�....:? __ STATE OF FLORIDA, COUNTY OF DADE. ss• Before me, the undersigned authority, • 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 lead the foregoing application, and that he did sign the same, and that all facts therein by him sated are true. Permit No...... / A Date 67/, / Read, Swom to and Subscribed before me. f\ /1 1 Notary Public. State of Florida MyCommission Expires...—_.— ............ ..... ........_.........._.._._._... . PLANNING BOARD DATE Member __...._.... . Member Member Member Council Approved NOTE. A charge of $1.00 will be made for tLc I'I.uinii.;; Huard. A rr•ui• pet lion fee of 31.00 will be charged materials gnu /or workinanahi making corrections or clinnges to this application after apprmal when such re-inspection is mode necessary by improper notice Date has hero obtained from for inspection ee faulty