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1035 NE 96 St (9), UILDING r:I.ECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot II BI. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 15903 • Work to be performed under this Permit CONTRACTOR OR BUILDER Subdi- vision Value of Project DATE - 195 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. Signed: BY 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY UILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building PERMIT N? 15879 Work to be performed under this Permit Architect Contractor or Builder r s Legal Lot II Bl. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE 195 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. Signed • - BY 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY MIAMI SHORES VILLA6 E BUILDIN INSPECTION DEPARTMEN APPLICATION FOR BUILDING PERMIT Application is hereby made fo the approval of the det .. iled statemen of the plans and specifics ions herewith submitted for the build- ing or o h. : ruc t ure her i described This ri licatic is made in compliance and con o ty w.th the Building Ordinance of Mia ii Shores Villave, or da, and all pro isions of the Laws c f the State of klcrid. all o d nances jf Mi ni Shores Village and all rules and regu a ion. of the Building Div . i of .iam Sho, iilage 1- 'I ,e o pl ed with, whether herein specified or not. A copy ot approved plans and specificati n must be key at building durin progress of tl.e wcrk. Date 3/ 3154 , 19 Owner' Name and Address __ _ __Ran __J_ _Cr'_ No - ___ Street. ... I c1 Registered Architect and/or Engineer._ Name nd address of licensed contractor. Ling _ 1nf.ingandTflCc 2:0 . —.79th . St Location and legal description of lot to be built on: Lot Block.. Subdivision Street and Number where work is to be done 1O3 E 96t.d1. S. T1aji7 barPz 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 Cov ringTi1a & 1311111; . Estimated ". -.tal cost of improvements $... 800 00 Amount c Permit $. Zone -ubage required __. __Plan Cubage Distance to next nearest building_ _ _ .Size of Building Lot ________ _____ _ Maximuin live load to be borne by each floor _ . _____ hereby submit all the plans and speciii;ations for said building. All notices with reference to the building and its construed xi may be sent to The unde signed appli ant for th's bulding permit does hereby certify Cat he understands and accepts his ,bligations as an employer of F bor under he Florida Workmen's Compensation Act being S. -tion 5966 Col p led Gen al Laws of Florida P r anon S.ipplc and h s compl ed w:th he prov• :ions thereof, and will require s.milar comp lance from all contractors or sub-contractors emplo •ed by him in the wo k to be p rf med under th s peril it and ill post or cause to be posted for inspection on the site of the work su .11 public not] c or otices as are requir d by the Act. The u. d. r ign d agrees to employ only such abcontr. ctors,, on work to be perforn. d der this permit as are licensed by M am, Shores Nil : ge. Lang ? nr; and. `..k Cc ine rk s (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm.nister oaths “nd take acknowledgments, personally Pp- pearecl and who, being by me first d. ly qworn, upon oath depo'es and says that he is the of th abov de .c ibed . istruction t, . h has careially read the foregoing application, and that he did sign the same, and that 311 facts therein by him stated are tr se. e) / Permit No Date._ :1_ . ___ ___ __ 4. f Read, Sworn to and Subscribed before me. Disapproved Date__ (Signed) Building Inspector My Com:nission Expires. Notary Public State of Florida PLANNING BOARD _DATE Chairman Member Member Member Member Member Council Approved ___ _Date Disapproved _ to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application Ift approval h is been obtained from the Plan!' ng Board A re-inspection fee of $1.00 will be charged when such re-inspection is ni ,e necessary by improper notice for inspe?t or fa ity materials and/or workmanship. 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 in 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 Mrs. John Ryan Date..._ it 3> 12, 1979 9 . ».. No c Street__ _....__..........._. Registered Architect and /or Engineer Name and address of licensed contractor Palmer's Roof — Rite Co. Inc., 15 NE 17th Terr. Miami, 33132 Location and legal description of lot to be built on: e '" </ »? Lot Block Subdivision ......___.___....._._...._.... Street and Number where work is to be done 1035 NE 96th St. , Miami Shores Fla. State work to be done and purpose of building thy floors) Re —roof residence. 1 1 - & 1 — #90 and cement shingle tile. 1 0, 3 15 and gravel on garage rooT. 31 Squares .and for no other u P tPose• New Building Remodeling Addition Repairs Re — Roof No. of Stories 1 To be constructed of Kind of foundation Roof Covering.iile & Bit. up . __ Estimated Total cost of improvements $ 7 , 500.00 Amount of Permit $,. 12 50 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 bytiiding and its construe on may be sent to 15 NE 17th Terrace The undersigned applicant for this building permit does hereby certify that he understands a d accepts his obligations as a emplcyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener Laws of Florida, Permanent implement, and has complied with the provisions thereof, and will require similar compare om all ":itractorstr sub - contractors a dyed by him in the work to be performed under this permit; and will post or cause to be posted r to ection on the site of he work-tech public novice or notices as are required by the Act. The undersigned agrees to employ only such bco actors, oa, worjc be performed under this permit, as are licensed by Miami Shores Village. ''` ,i- % Remarks_ ._ (Sign ) ( /17. 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 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.._.... Date Read, Sworn to and Subscribed before me. Disapproved Date.. (Signed) Notary Public, State of Florida Building Inspector My Commission Expires to me well knowii, 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 fratn the Planning Board. A re- in,pcc•tion 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.