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460 NE 95 St (11)MIAMI SHORES VILLAGE. FLORIDA ❑ DATE ` r. ❑ ' 195'. ❑ PERMIT 11T° 4 516 Contractor's , /') License No. `f t J ❑ . ❑ Work to be performed under this Permit ; r 1,."{" e erft. t Owner of , l Building _ , i . - f r .r Architect Z3ontractor or Builder L of % f r , Mr f 7 BUILDING ELECTRICAL PLUMBING ROOFING Legal Lot / Description Bl. Address of f f, - , -� / 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, irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any :ime 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 ,ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specification and that he assumes responsibility for work jone by his agents, servants or employees. / Signed- . ` / fi r R f t ' - BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work overed hereunder in compliance with all ordinances and regulations >ertaining thereto and in strict conformity with the plans, drawings, ants or specific ons submitted to the proper authorities of Miami Shores Village. In ac- _epting this permit I assumIN responstbiiit�' for all work done by qt , myself, my ag Servant or employee. 7 II � CONTRACTOYI OR BUIf{�I�ER Subdi- vision Value of Project $ Amount of y Permit $ --- s 0 BY \ AUTHORITY e 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. /n �J' 1 ( � Date ,19 Owner's Name and Address �— — ' ` r `� No 1 � ' Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: MIAMI SHORES VILLAGE Lot Block Subdivision Street and Number where work is to be done 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 fo ndaation Roof Covering Estimated Total cost of improvements $__Y �� 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, Perinanent 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 s of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on or to be pe •.rmed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed). Building Inspector 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 hecn 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. Liu- �rr.. -e, Notary Public, State of Florida AL6g otAt_ MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement us toe 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 \'tllage, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miaml— Shores - Village and ,all rules and regulations of the building Division of Miami Shores Village shall be complied with, whcthe in specified or not. A cypy_o • roved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Lot /0 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal djption of lot to be built on: -I 3 Block L Subdivision � /VE floors) /rrJ..0 V. ...... _.. Street and Number where work is to be done State work to be done and purpose of building (b Building Inspector BUILDING INSPECTION DEPARTMENT and for no other purpose. No. of Stories Kind of foundation Roof Covering Estimated Total cost of improvements $ Permit 5... \ Zone cubage required .Plan Cubage Distance .to next nearest building. Size of Building Lot \iaxifnum 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 ‘Vorkinen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sttppleutent, and has complied ssith the provisions thereof, and will require similar compliance from all contractors • tractor employed by him in the work to be performed under this permit; and will post or cause to be posted for inspectio• t e site o c w. such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subco ors on woe • , rforme pcnnit, as are licensed by Miami Shores Village. Remarks New Building Remodeling To be constructed of 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 car fully read the foregoing application, and that he did sign the same, and that all facts therein by him-stated are true. Permit No..G 7 .. _1... Date Disapproved 44 � a ate (Signed) Addition D (Signed)...... ._ No... . „ . .... Street._..! 3 9 .:f. ,5.....,,• f..,fI}!IVI1 /•1•11T.,.., Lam„ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ... _ S4X 4 S! e\/G B IZi U Y' Cty} to me well known, PLANNING BOARD DATE " hair:nrn Member .icrr,ber _ Member Member _..._._...._..... - Member ...._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making correction or changes to this application after approval has been obtained from the Plannir.g Board. A re iwpec•tion fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship.