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FENCEBUILDING I=1 s SHORES VILLAGE FLORIDA Date s /AO 19 ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 8733 Contractor's RO.FING ❑ �f License No O d 9 7? Owner of Building et Work to be performed under this Permit ,,„ Architect Contractor or Builder' : "�tJ'�' //�����'2 - �_/ , s p '�""+ ► Legal Lot Description I Bl Address of 75" d , Building 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 an3 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. , Subdi- vision Sq Ft Value of • 11 Amount of cxdot Project $ 11 Permit $ • Signed' (INSPECTOR) BY In consideration of the issuance to me of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulation. pertaining thereto and in strict conformity with the plans, d wings, 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. CONTRACTOR or BUILDER BY AUTHORITY be sent to , , .. : ",'. t ac , 7.:7. r ss. 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. Date 5/7;,/i7 Owner's Name and Address.. No 7:' Street Registered Architect and /or Engineer Name and address of licensed contractor Y , , . ' r - . _ – a T °°~ • r • , • r, % • ' . a 1.7:, Location and legal description of lot to be built on: Lot Block 7 Subdivision T• PI /Se" 7 r.,n ^{ 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 of foundation Roof Covering nn nn ... Estimated Total cost of improvements $ • 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 • The undersigned applicant for this building pennit 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 -co employed by him in the work to be performed under this pennit; and will post or cause to be posted for inspect' on e site o e work Such p )lic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr s, n wor�C be performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. 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 eY 7 3 - 3 Date Read, Sworn to and Subscribed before me. Disapproved Dade Notary Public, State of Florida (Signed) 4" — Building ector 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the ap of the detailed statement of the plats and specifications NbN * the build- ing or other described. This application b made in conp liance and conformity with Sip Miami Shores Village, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores V and an rules and regulations of the g Diviskm 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. C. Du- f3c1 Owner's Name and A d d r e s s . . . . / . . . . . . . / . ' . : . j . . 6 i / i .. .f10EA T J(y Bo [,5..._. No....25;f3 .. T. Registered Architect and /or Engineer Name and address of licensed contractor C ,f/.�.,s.� l�,al_ F � �• 1 .. 4.‘ .r T .. 0 W06_1.4 . Rio , Location and legal description of lot to be built on: Lot ...9! Block 4 7 Subdivision ti i tl M S ' y ° A E s C T...: ». 3 Street and Number where work b to be done .758 Z5:2244. State week to be done and purpose of building (by l loom.... -.- ..... _ .............._ _.._._....... '. ».,t cH C.'f.!r.9/. - ..I. /Mg . .. .,f � E (2 CO _._...._.._ .. ._......_.. ...._.._.. ».... 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 $ 1 • go ................... of Permit $ Zone cubage required ......_._ »._ _.... »_» »»»._.Plan Cubage Distance to west nearest budding _ .............. ........» ........Sim of Building Lot Maximum live load to be borne by each floor _._.........._.._._ ». .... __»»»........_... I hereby submit an the plans and specifications for said budding. All notices with reference to the building and its construction may besent to .._ .».».....»_._...._.......... ._......._.._......_..._.._.... ... The i for Ods building permit does certify that he understands and accepts his obi lions as an rmpbyer of labor wrier the F Warknnen's Compensation Act. being Section 5996 Compiled General Laws of Florida, Pennanent Supplement, and has compiled wIh the providons thereof, and win require similar compliance from all contracton or sub.00ntractors ed by him in the work to be pert under fhb permit; and wW post or cause to be posted for inspection on the site of the work a, public notice or notices u are required by the Act. The undersigned agrees to employ only such subcontractors. an work to be performed under this permit, as are licensed by Miami Shores Village. ( " 444Z tS ....».... AS 7// /4/ FENcE Co, STATE OF FLORIDA, l COUNTY OF DADE. 1 a Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally ap- p eare d ....._ __........__.._ . • Remarks..._......... and who, Wag by me first duly swam, upon oath deposes and says tat he the of the a by him bove ib b ed construction, that he has carefully read the foregoing application, and that he did th sign e same, and that all facts Permit No ? 3 a Disapproved (Signed) ... Member.. ...»........» Council Approved.»....._....._» Date• ......... ./J 4 .I/ • .»». ... .19 6 R ead, Sworn to and Subscribed before rue. NINC DOARD.. ». _.._.........._..__._...._DATE Chairman Member Member.._..__......._.. »...._ .... .._......»......».........»... Member .. . • Member _... __....... Disapproved Notary Public, State of Florida My Commission Expires NOTE: A charge of $1.00 win be made for making comedians or changes to this application after approval the Planning Board. A re-inspecdon fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materiab wasknnns alp. to me well known, Date has been obtained from for inspection or faulty WM, 4 eNc '-c step) iC We ;O6 27" 1' A LLE 48 / Oar 7S8 i e 9. Sr.