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1263 NE 94 St (3)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 df approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer t� Name and address of licensed contractor Location and legal description of lot to be built on: � STATE OF FLORIDA, COUNTY OF DADE. Ss Disapproved Date • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT _ ear e � M I ra // Date No a Street AA J. cr 'I • 77/e4 ,M ' Ca. — 75 c/ e1Q .J ,195 Lot Block Subdivision Street and Number where work is to be done £ • 9 (S t State work to be done and purpose of building (by floors) 'Z'/ - - - - - -- 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 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 em. , yed by him in the work to be performed under this permit; and will post or cause to be posted for ins )ection th ite of the work su public notice or notices as are required by the Act. The undersigned agrees to employ only such su...ntract o. ork to be p:, o ed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed)___ Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 (Signed) Building 'Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved.____ Date Disapproved Date NOT, T = barge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the P ing 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of�r • Building Architect Contractor or Builder Legal Description Address of Building Lot PERMIT N? 13372 11 MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project $ DATE ; • i 195 Contractor's License No Amt. of 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 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 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 responsibility for work done by his agents, servants or employees. Signed , �. ..< B INSPECTOR In consideration of the issuance to me of this permit I agree tb..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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Owner's Name and Address Mr. John Schmidt MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ;a -7177 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement en 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 thc 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..._... ,October 19 1 S 94 Registered Architect and /or Engineer 1.2 ,,.••.,,,•,,,,„,.,,..... Name and address of licensed contactor Bob Nilson &, Company, Inc. _,_2811 SW 70,Ave Miami Fla._ 33155 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1263 N.E 94thStreet -- Street State work to be done and purpose of building (by floors)....._._ Reroof one story residential building_to Dade Count Building Code = going back with New Cement Tile as manufacturered by Monier. _ _ and for no other purpose. New Bui!ding Remodeling Addition Repairs No. of Stories one To be constructed of Kind of foundation ; Roof Covering Estimate Total cost of improvements $ 8,100.00 30 0 Amount of Permit $. Zone cubage required Plan Cubage Distance .to next nearest building.. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to Bob Nilson & Company, Inc. 2811 SW 70th Avenue Miami, Fla 33155 ... The undersigned applicant for this building perinit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Yrnnane•nt Supplement, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of thc work such public notice or noticcs as arc required by the Act. The undersigned agrees to employ only such subcon actors, ftn w9rk !p. be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) Date Building Inspector STATE OF FLORIDA, ! 261 - - 3217 COUNTY OF DADS. f ss CC C017513 RC 0015630 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 10 i 6- t$ O >1 to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. .CP-S ra ' n* of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts thcrcin by him state aje true. . Permit No Date... ..A Rea • worn to and Subscri before me. Disapproved , s!C3cv Notary Public, Stat sof FIOI1 (Signed) �JVV � t�h %YJ r, 2,10 6r My Commission Expires.. . [landed Thru Troy Fein • to :ur:.nr, Itte, 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 Plannir,;; 1:u.Ird. A re- inpection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship.