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920 NE 95 St (6)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 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. 19 YO ner's Name and Address 7197.' XPi// Y P °1<lg No Street Registered Architect anchor Engineer /10 i‹./ Qi /Name and address of licensed contractor el ,Aa7.e /',�� S Location and legal description of lot to be built on: J Q y / Lot / Block Subdivision 2 � i-Aed // Jo 4b ®/ /� 0.0/0i reet and Number where work is to be done �� e N L h < tate work to be done and purpose of (by floors). state exterior colors (submit samples) s ! "JC/ S f and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering stimated Total cost of improvements S loo - Amount of Permit $ ' 31010 Zone cubage required TTT Plan Cubage Distance to next nearest building Size of Building Lot 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 and its construction may be sent to Disapproved 0 � �"� Date The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 he provisions thereof .P ill require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: will post • .:use b •osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to emplo ly such .co• ac .rs .n work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed �_ STATE OF FLORIDA Ev COUNTY OF DADE. } ss. Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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. .6F�v / Date �/ Read. Sworn to and Subscribed before me. Notary Public. State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship. ■, Z NIFIVIIMIWINTIMPIIIIIIMPIrlregrrus 4 5a ) e; ep_s c4/;-e co/ 1/ // 6,e hi iy '0 0 cam, 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. STATE OF FLORIDA, COUNTY OF DADE. j Disapproved _ - -- (Signed) Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor tr r/R0 fIl V "V? 6 " • 91 N ( - 4 - ) /64/ 57' Location and legal description of lot to be built on: Lot Block �j Subdivision q c Street and Number where work is to be done L_ -_ State work to be done and purpose of building (by floors) U J F' Date Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date_ ____ C No LANNING BOARD DATE 2 , 19 �`+ Street / F 4 ? 557 K3 pi? eSe r7 DR(Ve Ge4•/ ---- - - - - -- and 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 $_ 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, 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 perfo ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) (-2/0 fi�`�4it . �. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Read, Sworn to and Subscribed before me. 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.___l_ 7 / Notary Public, State of Florida Building Inspe.+or My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA a �� Date 19 _ ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 10677 Contractor's o c ROOFING ❑ License No. ❑ Work to be performed under this Permit Owner of Building L f Q (! .� Architect Contractor• V A y r �� 1. ` N C., or Builder Legal Lot Description 11 BI 'T Address of 9 CI F-I ` 9, B f uilding CONTRACTOR or BUILDER �. a t r ,_ , �`. ?its S• �/ Subdi- vision Sq Ft. Value of Project MO .-, BY AUTHORITY 11 Amount of 11 Permit $ 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 at—we assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plan ti drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, se nt r eteyioyees. (' Signed �` " t ' hI' (IN CTOR) BY In consideration of the issuance to me of this permit I #ee to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans dr• : ngs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this perm' I assume } responsibil li ity for all Dr done by either, myself, my agent, servant or employee.