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720 NE 94 St (4)BUILDING ELECTRICAL PLUMBING ROOFING Address of Building CONTRACTOR OR BUILDER MIIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor or Builder Legal Lot Description N° 5730 DATE i ' 19 Contractor's - License No. 1 Work to be performed under this Permit B1 Subdi- vision Value of Project $ 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 o r 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 ao• cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. AA � BY AUTHORITY Amount of ' Permit $ ` A•807 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 Law= of the State of Florida, all ordinances of Miami Shores Village ?nd all rules and regulations of the Building Division of Miami Shores Village shall be ea :Tiied with whether herein specifier) not. A cope of approved plans and specifications must be kept at building during progress of the work. Date - -- -. 1 Owner's Name and Address # Z _ 6_1 __ ____ No..._ 7>'r! Registered Architect and /or Engineer Name and address of licensed contractor / Ce(/ Cr, �,vL _ ___ Location and legal description of lot to be built on: Lot I6 ! f Block Subdivision Street and Number where work is to be done 1 )4) #t/ State work to be done and pu ose of building (by floor i....-•"".--- New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ / QZ1 -__ Amount of Permit $ - -- - - -- Zone cubage required .Plan Cubage Size of Building Lot Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said uilding. All notices with referen to the building and its construction may be sent to - 3I Z / 1C /G O. /42Ae The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori and has complied with the provisions thereof, and will require similar compliance from all contractors or su in the work to be performed under this permit; and will post or cause to be posted for i pection on the s' or notices as are required by the Act. The undersigned agrees to employ only such su. • actors, on permit, as are licensed by Miami Shores Village. / Remarks (Sign : Disapproved .. -. Dat (Signed) MIAMI SHORES VILLAGE Building Inspe; or Chairman ___ ___ __ ___ _ Member Member Council Approved ANNING BOARD_ .__._._ _ .. DATE and for no other purpose. as an employer manent Supplement, employed by him ch public notice rmed under this contracto e of the wo ork to be 19 - -C T 7-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 Notary Public, State of Florida My Commission Expires Member ___ _. _ Member Member 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. 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 5 •` 0 Date 7- 7- 3-4, Read, Sworn to and Subscribed before me.