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1131 NE 97 St (8)4 0 / `%f Vii. /ios1 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby u'inde for the appro\al of the detailed statement ui one plans and specifications herewith submitted for the build ins 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 duikline Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications n►ust be kept at budding during progress of the work Data N)� �• �� }.. .19 Owner's Name and Address ...... . thl.ficE ^It t "r" ,. '' °'sEy =.' No.... n1 Street l Registered Architect and /or Engineer.... .... .._._ *TO 'It r••••... ,,•n„w,.,•,,,,•,,,a . <. Nuns and address of licensed contractor t � Location and legal description of lot to be built on: 504x5 / 7 e Lot l Block.- _._ Subdivision Street and Number where work is to be done .1. 1 1' Q e 7 5 ` ' State work to be done and purpose of building (by floors). ._ xe. GfrA � ____- •-- _.___.._ _ _ PLANNINC BOARD. Chairman _ ._.....__.._.._..._.__._._..... `.._.. MIcreber Member .. Council Approved _ _._._Date N OTE: A charge of $1.00 will be made for making corrections the I'Lrnnir.4 Board. A re- inspe•tion fee of 31.00 will be charged materials moss /or workmanship. and for no other purpose. New Building Remodeling Addition Repairs _ . _..._.. No. of Stories ®A '� • •` To be constructed of Kind of foundation....___._... oof Covering o o ti " Estimated Total cost of improvements $.... .Q.C.D.._._--- ____.. --- Amount of Permit S.._ Zone cubage required _ _- --..: _ ---Plan Cubage _- ._ _._.___ _ Distance.to next nearest building ......._......_...._._ ......_..._.....____.__..Size of Building Lot. _.._.._... _ ......_ ......_..............._.._...._ Maximum live load to be borne by each (loon - -- -••-- » --- - -- 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 5066, Compiled General Laws of Florida. Permanent Snp plenient, 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 cruse to be posted for inspection on the site of the woe ulplic notice der this or notices as are required by the Act. The undersigned agrees to employ only such jsubcoo •r' performe 1 permit. as are licensed by Miami Shores Village. STATE OF FLORIDA, l 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.. ¢ B -- Permit No.. � ° ` -_•_ Date ` ; L `1 `� . Read, Sworn to and Subscribed before me. C � -. Date.. � ... ' (Signed) :..........._. V .. : ,i ....._.. — i .. .. Building Inspector Notary Public, State of Florida My Commiuion Expires..._. to me well known, _DATE Member Member ...._.._......._...._...._.._ ..___._ _.._ ......__ Member...._ ._._ .. _.._ M. ._....� Disapproved .._.._.._.._._ Date or changes to this application after apprnval has been obtained (ruin when such re- inspection is made neceuary by Improper notice for inspection or faulty "B c- o c K u P �x (ST Ooog TOE) ,' e , Mrs. 34 L. L tl- C GU\ o o u g v 3( t 4 Sr. rk , P-rr 61+0,ees v TI Ty PP THESE PLANS ME APPROVED FOR ISSUANCE OF A BUILDING PERMIT O WITH NO VARIANCES ❑ WITH !'ARIAW E(S) LISTED IN "REMARKS" NO OTHER DEVIATIO 'S FROM T!}E P;;,' ^, ?( S "' ?E' BUILDING AND ZONING GROW ;ICES WILL BE PERMITTED. U' ^;i' SPE:'IFI; ALLY LISTED BELOW. ALL OTHER APPLICABLE STATE AND CO': U, LAWS MUST BE COMPLIED WITH BY ALL PARTIES. Yri?' o i e S :gn -ture Bate FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT BUILDING DIRECTOR PLANNING & ZONE.% VILLAGE COUNCIL REMARKS: PRELIMINARY: APPROVAL FINAL: COMPLIANCE WITH THE SOUTH FLORIDA BUILDL G CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. TEE ARCHITECT, BUILDER & SUB CONTRACTORS ARE ru.,'' , :. • :; 'O , .;r , EINr,E (IF AP i INC REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. MIAMI SHORES VILLAGE UILDING 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 iLsy __15th , 19__ <'_ Owner's Name and Address )X o C 0 0 0obo%'nC No Street Registered Architect and /or Engineer._._-' .13 h Re: e 97th Stmot_ T X, . Sho,7.'oo, s'lo5:'ida Name and address of licensed contractor Booko Spyinklo ; Compaq U13 N.U. 54 - th Stveot Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done �1a �A C f' 1 . State work to be done and purpose of building (by floors )_ TrsttlJati.o O ElpK . %^ .ox Drrto about 600 Feet of p:I.p 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 $______9__85.00 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 pen 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 perfoin- ned under this permit, as are licensed by Miami Shores Village. G ?- 3 =:��� — , Remarks___ (Signed) ), 1' • 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 _ 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 d g Date Q Read, Sworn to and Subscribed before me. Disapproved Date 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 $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. UBLDING INSPECTION DEPARTMENT AP LI i ATIDN FOR i= WILDING PERMIT Application is hereby made for the approyal 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. Otcn Name and Address__- a RegIllered Architect and /or E n g i n e e r . Name and address of licensed contractor. ‘C 4:-.4'? N ' °R Location and legal description of lot to be built on: Lot_ Block _ Subdivision Street and Number where work is to be done State work to he done an — -- 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 $- __`OQ.QOE 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___ X hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may be sent to -- - - - - - - -- - -- - The undersigned applicant for this building pennit dot 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, Pennanent 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__ _ STATE OF FLORIDA, COUNTY OF DADE. ss Before me, peared purpose of building (by floors)_ undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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. a/ (� Permit No._____L'1 ___ ___________ Iate.__ 3c)._ `� ___ end worn to and Subscribed before me. Disapprove_ Z ___ ____ _____ Date (Signed) Building Inspector PLANNING RD__ Chsnan Member .__._.-_ ___ Member . Council Approved _. _Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MANII SHORES VILLAGE 13L31. NE g?th St. tall in, front as_._ _. aTt 3.. ._4rc I7 & ( Signed ) Nov. 30, Date - , 19 - - - - No.__ .__ - -- Street__ i' ._9 ...Street. • to me well known, Notary Public, State of Florida My Commission Expires DATE 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 G 2 I, 0 •1 1 MIAMI SHORES VILLAGE, FLORIDA BUILDING CI .., i .....,,..., 4.1 ELECTRICAL 0 Date J 19 PLUMBING 0 PERMIT N? 9447 Contractor's ROOFING 0 License No. L '.-- El Work to be performed under this Permit J ' Owner of -- , - —.. Building .. 1 - \ .::). 4 4 t n '"--' " .g. ' -00 .---- i ...Atie 1 - - ,,_ Architect Contractor or Builder Legal Lot Description 11 B1 Address of I Building 1 Signe CONTRACTOR or flLDER I ' L.- A Subdi- vision Sq. Ft. Value of Project fr" $ (INSPECTOR) BY_ Amount or I 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 an plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoke,1 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 NVIliCh 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 specifications and that hu assume respon sibility for work done by his agents serv or employees. In consideration of the issuance to me of this permit I agree to per rm the work covered hereunder in compliance with all ordinances and regulation 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