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54 NE 95 St (5)MIAMI SHORES VILLAGE 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Date. l No Street Amount ,19 Location and legal description of lot to be built on: Lot Block Subdivision Street end Number where work is to be done State work to be done and purpose of building (by floors) `4..'1!1Z 4 v ° '4 � .y , s • ` r- ' s and for no other purpose. New Building Remodeling Addition Rephirs No. of Stories To be constructed of Kind of foundation Roof Covering 1; ;? Estimated Total cost of improvements $ of Permit $ - - -./ P) 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 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. j Remarks (Signed) -s< f 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 applicatior., and that he did sign the same, and that all facts therein by him stated are true. Permit No 1 0- 51 Date 1 % Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Insp tpr Notary Public, State of Florida (/' 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 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. 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. Owner's Name and Address New Building_ Distance to next nearest building STATE OF FLORIDA, u . COUNTY OF DADE. 1L1 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block — Subdivisio Street and Number where work is to be done State work to be done and purpose of building (by floors) To be constructed of_____ _______ Kind of foundation — _ —____ ____— Roof Covering_ Estimated Total cost of improvements 1- mpro ements $ � - _______Amount of Permit $_� Zone cubage required________ Plan Cubage 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 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 Le performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) VA- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 / 1 i ' Date Read, Sworn to and Subscribed before me. Disapproved _—_— ________________ —___ Date (Signed) Chairman Member Member Council Approved______ NOTE: A charge of $1 the Planning Board. A re- inspection fee of $1 materials and /or workmanship. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Remodeling________________ Addition_______ — ________ Repairs__ My Commission Expires_ Dace_ -- yyz 19___ No. Street _and for no other purpose. No. of Stories__ to me well known, -- Ito+ - N. Notary Public, State of Florida PLANNING BOARD DATE Member Member Member _Date Disapproved _Date .00 will be made for making corrections or changes to this application after approval has been obtained from .00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE / 1947_ ERM1T N° 5810 Work to be performed under this Permi Architect or \t- :: 5/L . 7 Legal Lot Bl. l Description sibility for work done by his agents, servants or employees. , Address of r" �f ri e j _ t :1 111 Buildin g 1 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 appli- cation 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 b. permit is granted is the understanding that the contractor or builder named ab umes the responsibility for a thorough kno . e of the o dinances anc! regulations pertaining to the work covered hereby whether shown on the pl aw ing die st tements or specification at he sumes respon- Sign ; 47 -..,.I Y " By 3( r — INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all dinances andiegalalons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoffing of Miami SholosWilliige. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. n CONTRACTOR OR BUILD Subdi- vision Value of Project BY vt.!/t/J Contractor's License No. Amt. o t]� ! G Permit AUTHORITY New Building_ -- To be constructed of STATE OF FLORIDA COUNTY OF DADE. MIAMI SHORES VILLAGE 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 building or other ,tructure h�rric described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Law, 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 e It h. het ht r herein specified or not. A copy of approved plans and specifications must be kept at building during progre.3s of the work. Owner's Name and Address - it Registered Architect and or / ngineer Name and address of licensed contractor Location and le all description of lot to be built on: Lot' 7 na _1?.' —_ Block — Subdivision _Seed Street and Number where work is to be done _ -[J( 1 SS. _ Remodeling _ - - 9 " j Building Total cost of improvements S CO Building Inspector Sy� work to be done and purpose of building (by floors). sta xterio colors (submit samples) _ llt _ _ LA* ?" Addition Kind of foundation - Repairs Amount of Permit S Plan Cubage Size of Building Lot _ —. No.. My Commission Expires Date Roof Covering_. _ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared - Permit No. ,e)ga Date Disapproved Date Notary Public. State of Florida (Signed) Read. Sworn to and Subscribed before me. 6/ /g ?2 a� . Street No. of Stories Zone cubage required _ - ____ Distance to next nearest building Maximum live load to be borne by each floor - - - I hereby submit all plans and specifications for said building. All notices with reference to the building e.nd its construction may be sent to A / VZ //S and for no o er purpu The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florid, . Workmen Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement. and has comelied with the provisions thereof. and will require 'imil. r compliance from all contractors or subcontractors employed by him in the work to be performed under this permit: and will post or cause to be posted h■r inTrct inn on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only s *subcontractors. on work to 111 performed under this permit. as are licensed by Miami Shores Village. ,( Remarks (Signed) _ v 4 to me vu 11 knrnt n 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 fgregoing application. and that he did sign the same. and that all facts therein by him st.a d uri true PLANNING BOARD DATE Chairman Member Member Member - - Member Member Council Approved Date Disapproved _ I1ati• NOTE: A charge of $25.00 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 S25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or tech icrnan,hip. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date _4' c2,?^ 7? Job Address Af /. -CA) %41 /V, 3i Legal Description Tax Folio Historically Designated: Yes No / Tenant \/ C) 9ti Master Permit # Owner's Address Phone ?6, r , 7 s Contracting Co. C) W"(f / . Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION � � /1. / .,le c`eh Square Ft. Estimated Cost (value) ?ki r / P 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date FEES: PERMIT ' 7O RADON C.C.F. `/t O NOTARY � ature of Contractor or Owner- Builder Date igohe / _ , lam`.6' �� ?Lr,?. J . / _,/ - y Notary as to Owner and/or Condo President Date Notary as to Owner - Builder Date My Commission Expires: My Commission Expires: (/— C R�( p �, N SEAL T ARY ` < CC797277 7r 3 MY commission EXPIRES I. F�� DEC. 17,2002 BOND TOTAL DUE APPROVED: Zoning Buildin:�� % }r !O Electrical Mechanical Plumbing Engineering