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MECHANICALMIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the iraild- 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 ...,id 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 Owner's Name and Address R. oeete r _ Dig/Q0 FE No O Street4 Registered Architect and /or Engineer Name and address of licensed contractor.__ STATE OF FLORIDA, ! COUNTY OF DADE. j ss • Permit No Date Disapproved Date (Signed) RKO / - � r&_ Co_A.e.0 o4,. /A.6 246 &2 4 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1_!x____ c- 9 7 - / ! //_ L.t_°. 12r12eA.1AI CM �-AUP..�/ts /_/.11 rc State work to be done and purpose of building / (by floors) / �11.9 ,�,�(le � ! ( .2A la _. �X_!S_i /!i 4/ ._ lkef%aL_e/.2 -- � ,,t'is i, V ,t �,Ec7i. tr ,f-Ys re (�.ii.z. hit. i'fe.) OP li!_.U1 i - ct9f 6 I4 L Aeri v F Zitild1 /. / t ( 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 $ / f 0 Amount of Permit $ 6 6 Zone cubage required -Plan Cubage___ Distance to next nearest building .' .S 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. _ Remarks ( Signed) % 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida � " l ec I9 try? Building Inspector 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. Owner's Name and Address ._... ...... .._ Registered Architect and /or Engineer..._ Name and address of licensed contractor Street and Number where work is to be done Disapproved (Signed) 6.11, Building Ir}5` pector MIAMI SHORE tILLAGE 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. State work to be done and purpose of building (by floors) Chairman Member Member Location and legal description of lot to be built on: Lot Block Subdivision. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of._ Kin f foundation d Roof Covering Estimated Total cost of improvements $ 7ee 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 w. such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc n ract rs, op yce*k to be formed under . hi permit, as are licensed by Miami Shores Village. Remarks ( Signed ).___/ 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 1 0 ) to me well known, `•, and who, being by me first duly sworn, upon oath deposes and says that he is the V 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 ' Date e Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Member Member Member e/3 sr /0 F - �= Notary Public, State of Florida My Commission Expires 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. BUILDING ELECTRICAL PLUMBING ROOFING { ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, ° PERMIT N? 8216 Bi. Work to be performed under this Permit____ Signed• Subdi- vision CONTRACTc. OR BUILDER BY sq. Ft Value of Project $ FLORIDA 195.L DATF' Contractor's License No +' Amt. of 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 application 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 responsibility for work done by his agents, servants or employees. -' :.. By In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all orditiatices 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or unployee. , ' / e 04. / AUTHOR • 17