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ROOF REPAIRMIAMI 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- 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. r � sl z s 7S / / q G r.� Owner's Name and Address S . <2 C� �.... r ' 17/ — No �© a1.... Street._.. ' .l `/7 Registered Architect and /or Engineer..... - .�.... ,.,.... «._..- ..,. n ..... Name and address of licensed contractor 1/ L° � Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done.. 631 9L. ---- State work to be done and purpose of building (by floors) New Building Remodeling Addition To be constructed of Kind of fou atio,. Permit No __ __ Date Disapproved ,P .�,1_,/ .( Date. ( Signed) Builamg Inspector" 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 co ctors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for insp on the site , the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s ors, on wor to be performed under this permit, as are licensed by Miami Shores Village. 1 1/ Remarks... _ (Signed). Repairs ' No. of Stories Roof Covering ........... and for no other purpose. l 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 e. /7 / Read, Sworn to and Subscribed before me. Notary Public, State of Florida My 'Commission Expires /PLANNING BOARD DATE Chairman Member Mcrnbcr 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. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or use 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 tlrc 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..._...._ April 2 , __. 86 Owner's Name and Address'( James Se,ulveda 1091 N.E. 96th St . f _ ._. No...._ .......... _.._.. Street_.— _ Registered Architect and /or Engineer Name and address of licensed contractor Obenour Roofing Co. 7357 N. W. Ct. Location on and 1 gal description of lot to be b`i' tt on: Lot ...J ''''Y ''''Y i t Block 131- Subdivision. . ..5 1 ei Street and Number where work is to be done 1091 N.E. 96th Street State work to be done and purpose of building (by floors) Reroof residence with new colored cement tile. 38 s ...... and for no other purpose. New Building Remodeling Addition Repairs' Reroof No. of Stories 1 To be constructed of 1 - l 9 Qind of foundation wood Roof Covering tile Estimated Total cost of improvements $ 10, 000 • 00 • Amount of Permit e. 38.00 Zone cubage required .Plan Cubage Distance .to next ne.uest 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 7357 N.W. Miami Ct. Miami, FL 33150 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 Stip slenrent, and has complied s� ith 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 ins ction on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su • �* ors, on ..•rk to performed under this perrnit, as are licensed by Miami Shores Village. Remarks (Signet 0 , ' . Date Building Inspector . Chairman Mfcrr.bcr — Mcmbcr .. .. _.....__....._..._.�...._ Council Approved Date and who, being by me first duly sworn, upon oath deposes and says that he of the above described construction, that he has carefully read the foregoing therein by him stated are true. Permit No.... 9 4 . Date My PLANNING BOARD DATE / / .. ... � 7 Miami Shores Before me, the d signed authority a otary public, duly autho 4ed to administer oaths and take acknowledgments, personally ap- peared 6Z application, and that he did sign the same, and that all facts Member Member Member ...._ Sf �� v �� o —. rn p� to and Subscri befo eai Notary Public, State of Florida Commission Es NOTARY PUBLIC STAT€ Q,FAORLpA -. pi .COMISSTON'EXPIRES FEB. '1 Ins to me well known, k�.a. Disapproved Date has been obtained from NOTE: A charge of $I.00 will be made for making corrections or changes to this application after approval the Plannir.g Board. A rc- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.