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534 NE 95 St (4)Owner's Name and Address MfS Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done Disapproved ��� %.; , Date (Signed) MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statcmcne of me 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 the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisinn 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. Registered Architect and /or Engineer Gov, 00 2;- 2 — No S -' _.. Street.__.l�.2L ._ M ... ,19. CP> 7 C1 �.......C. oR?i;?R..AT.1LNi --- Subdivision ._._...... _ .._» • 5�4 ..._._ t. -_cis 11_11 State work to be done and purpose of building (by floors) $ _ _..__ and for no other purpose. Repairs No. of Stories _ New Building Remodeling Addition To be constructed of Kind of foundation ! Roof Covering Estimated Total cost of improvements $ Zone cubage required .Plan Cubage Distance .to next nearest building Size of Building Lot Mfaxirnum 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 DE6 oizpoR -ATt ON 2` - ? . �� 4� sA,Q A Vt. Amount of Permit S. 00 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 arc required by the Act. The undersigned agrees to employ only such subco actors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. . e Rem.uks (Signed) 1111 e .1C_�,.� ci 1,11. WTI ...,11.71111H71n17... 71,,11 STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorizcd 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. II Permit No. 44 / 1 -0 Date. 1, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires _ ._.» M,AN-ii I. to me well known, PLANNING BOARD DATE Chairman Member Mcrr1bcr Member M ember — _.. -.... 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 rc- inspection fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERP:;F p WITH NO VARIANCES ❑ WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIATIO';S FROM THE ;;HAM! SNORES BUILDING AND ZONING ORDINANCES WILL BE PERMITTED. UNLES`; SPECIFICALLY LISTED BELOW. ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED WITH OY ALL PAR IES. FIRE DEPARTMEf PUBLIC WORKS VILL E COUNCIL PRELIMINARY C EMARKS; POLICE DEPARTMENV J BUILDING :ERECTOR PLANNING & ZONI::G Atitheri7Ed S' Nto COMPLIANCE WITH THE SOUTh FLORIDA HUILD:i;u CODE AS ADOPTED DV LIIW.0 SHORES VILLAGE IS REQUIRED. TEE ARCHITECT, BUILDER & SUB CONVRACTf 'R ONE IlEgUE4MONS WHETHER OR NOT SPECIFICA IND:CATO HEREIN. / • / • s/ • ; L Y LS%/ N U rR L s C . .63 4 ,V . 96 sr / E ISr,My PAV /A/0 713 G. R.c pLt c G • A-ND � 5� /zgAcc- r w .u,iaua r acn RJI SCJ2318 Bonfire B SW2321 Fox Run b SW2322 Samples approximate the actual paint color. 246 9.'90 BUILDING ELECTRICAL PLUMBING ROOFG Owner of Building Architect Contractor or Builder Legal Description Address of Building PERMIT 5098 Contractor's License No. ❑ _. Work to be performed under this Permit_ Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. 7) DATE 4 • ',: ,,,• Subdi- vision Value of v 11 Amount of �) Project $_44.- ' - 1, Permit $ ' t. `{19 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 he assumes respon- sibility for work done by his agents, servants or employees. Signed. , - •.f' (& 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT 4'