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295 NE 94 St (3)BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N? 6 0 95 Contractor's G License No. ROOTING ❑ Bu ilding kr Le. 0 a6/ Architect Contractor _ or Builder LL e Legal Lot Description MIAMI SHORES VILLAGE. FLORIDA V Address of o p Building ei e 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 it 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 thorougiknowledgf ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the satements or specifications and the he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Work to be performed under this Permit Bl. Signed Value of Project BY u Subdi' vision $ 11 Amount of 11 Permit $ AUTHORITY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covereObereunder in compliance with all ordihcmces and regulations pertaining thereto and in strict conformity with the plans, drcrwings, statements or 'specifications submideCI to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, my elf, y agent, servant di employee. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building 1/, V MIAMI SHORES VILLAGE. FLORIDA PERMIT 11T° 4685 Architect Contractor or Builder gr i • Legal Lot Description Bl Address of - Building DATF ,r ' Contractor's License No 195.Y Work to be performed under this Permit Subdi- vision Value of Project $ 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 specifications that may have been submitted to and approved by the proper municiprfl' 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 authorizd A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a through knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drags or in statements or speoilications and that he assumes responsibility for work done by his agents, servants or employees. Signed. 4 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 specificati9fis 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. t ` , t 7 . ;, ,v.i . CONTRACTOR OR BUILDER BY Amount of II Permit $ 44 AUTHORITY a 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 regula- tions 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 Owner's Name and Address dJ1 �' -i' / P.! _ No. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: __ Block_ _ - Subdivision Street and Number where work is to be done State work to be done an purpose of building (by floors) _ 9o� -a0—,_ ` fereby :u.mit a t be sent to Remarks STATE OF FLORIDA, COUNTY OF DADE. f and who, being by me first du of the above described const therein by him stated are tru Permit No Disappro (Signed) _____ MIAMI S I-L.O RES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Addition Atadt (Signed) New Building ____________________________ Remodeling To be constructed of _____W___ Kind foundation �� Kopf Covering Estimated Total cost of improvements $_�__� __ Amount of Permit $.2 {� Zone cubage required__ Plan Cubage__ _________ Distance to next nearest building_______ - ___ _—__ _ _ Size of Building Lot Repairs No. of Stories__ Read, Sworn to and Subscribed before me. L and for o other purpose. and specifications for said building. All notices with refer . ce to t . - building and its construction may The .undersigned applicant for this building permit does hereby certify that be 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 cont actors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted f. tnsp cti•n on a site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such bcont a o work to be performed under this permit, as are licensed by Miami Shores Village. r Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, upon oath deposes and says that he is the carefully read the foregoing appliion, and that he did sign the same, and that all facts Notary Public, State of Florida Building Inspector My Commission ______ PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved_______ Date Disapproved 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-i . : \ tion is made necessary by imp er nottc for inspection or faulty materials and /or workmanship.