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170 NE 94 St (2)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lat Description PERMIT N? 9460 BI Address of Building CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Date - 19 Contractor's License No. Work to be performed under this Permit Subdi- vision Sq Ft Value of 11 Amount of Project $ 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 ho assumes respon- sibility for work done by his agents, servants or employees. Signed:__ (INSPECTOR) BY 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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Chairman Member Member _ Council Approved ..... .__ M0AMN SH o RES VBLLA C BUILDING INSPECTION DEPARTMENT I1 T QppU ATO N 170O BUOLDONG GEC IRMOT Building Inspect 0 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. / �e , 19C / ` e / /!! 7- B6- A4 Date No 7 street .'C ( LS Owm_r's Name and Address__. P/9._ RegUered Architect and /or Engineer.. _ Name and address of licensed contractor_ ._ cM .____ V/ _ _ � 72_ U l e � 5 Location and legal description of lot to be built on: Lot.. Block .__ _ Subdivision [ � Street and Number where work is to be done / 7 © /11.E .E .-, State work to be done and purpose of building (by floors)__ 57A"9 ! &,4r 2A' I v e Rcrit 5 - re 6 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 live load to be borne by each floor_.. I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may be sent to__ . - _ -_ .___ The undersigned applicant for this building permit doe 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) L t!/L) 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.__L f `F < — C � Date_.__ / — 6 . 7 7 .. ____ Read, Sworn to and Subscribed before me. Disapproved ____ _ ____ __ _4" Date Notary Public, State of Florida (Signed) My Commission Expires ANNING BOARD_. __ DATE Member Member 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 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. , Sr r l 70 IFIEIIBM= AIPP LICATIION FOR MIIAMII SHORES VIIILILAGIE Date Job Address /70 /Y4= °d' Y Tax Folio // c9;z '6 i54 f Legal Description Zc 7 67 84 d>e //9 D 22 �� c- No. / Owner / Lessee / Tenant 4 �n ���il Master Permit Owner's Address / 70 /Vg:` Contracting Co. 5 1W..5 604,P Address65be Jw - f°e '- Qualifier ‘777/ b- "0 Notary as to Owner and /or Condo President My Commission Expires: / "X° r f-72/, /9,v ///pe 7- State # Municipal #,. .s Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 61/4" 2../9 , 7x,' 77iiC Da /vi w Square Ft. 77 ** * * * * * * * * FEES: PERMIT / RADON C.C.F. APPROVED: Fire Zoning Building ss#,,2 e 9 - 5 - 9Y Ss Estimated Cost(value) 01 Signature of owner and /or Condo President Signature of Con Date: Date: MAO1U- Phone ,4",,2,C)5 9- 7 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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 construj, ion'and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Tri or7 1139EPHM O o. CCI97545 tr. t 1 y as to NmptypicrtsAl+ipgi>amNilieNa7P igier My Commissiorp rah) :vn OR Produced LD.( Type .ird numb of 1.D. produced: it tY * D) rake a ao or * ** DID NOT take an oath. qy_ NOTARY ®® TOTAL DUE T Other Electrical Mechanical Plumbing Engineering I !A ,Oo ;.• LOT !0 20' KiONI p-•17 m'Y DIN I NQ ¶OO <rr OHW T4W eStrn'tis.,,So a____ Jy'LNe '7 5 FMK %Vet' E. I.. E./ t o N E. L OO L 1LL G:;• PLO4 C 20w NS OF 2. 0 tz. I) C p.CT 0.D-1S C) \f-4/ G. (CO #.3 «if3,1■A) ‘ilcirEEN OvErc 00t- Pq REA • • .0. N E. 04 TI-I PLAN VIP LC A L. I- 100. 00 I ROOM FINISH SCHE /o' rAv f•-•4 Clt WATE.R. t•46 CONFItta••■1 LOLVc11(14 S1 T ( 20 . 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