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ROOFINGMIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statc,,,t•nt or toe plans and specifications herewith submitted for the build • ine or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Short's 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 Divisinn 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..—...- �. S, / v._ _ _ _ , Ig O..•ncr's Name and Address .... QK 1..F.r .l � �l r lr�.� s 1. (.r.. _ o. l :7.X. _.. StrU C _...s.7.. Co Estimated Total cost of improvements $ 7. • Permit No _..` ._. ` 41 - o 1) e Disapproved � Date (Signed) / uilding Inspector Addition Date 1 - 10 - J Registered Architect and /or f:f( pricer .•••••...••.,,, ,..,.,.,....•, Name and address of licensed contractor . n.es - Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done / q .8._._....1■1. Q.0 State work to be done and purpose of building (by floors) _...s;,. New Building Remodeling To be constructed of Kind of foundation Roof Covering Amount of Permit 5..1_ 0-0 Repairs V No. of Stories 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 crrtify 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 1)ruvisions 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 i •n on the site of th work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such o s, on rk to perf ed t)nder this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) (J 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 fads thcrcin by him stated are true.. Read, Sworn to and Subscribed before me. Notary Public, State of Florida and for no other purpose. to me well known, My Commission Expires PLANNING BOARD DATE Chairman - Member Mfcrr,ber 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 liu.trd. A rv.in.peutiurt fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. T MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed stats:mem ur 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 liriildiirg 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. 38 squares (Reroof 26 sqs. New addt: 12 sqs) Date ..._..._...__... —... _.....__. Augu lst ,19 Owner's Name and Address Q9. p� r, & Mrs, Aldrich No.J........_.. StreedLL 962tb_r. i .T.i✓.a3t Registered Architect and /or Engineer ,. _=• ==+TT<n=r^ x +vs Name and address of licensed contractor Lang. Roofing &Tile Co, 8 ,_, ><? ,,.,,�,� ,,,j�,a4JA•�],,gf., j azp7 A .,.� bbl ,,.. 3 Q.. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1098 N. E. 96tr>~Stre.e State work to be done and purpose of building (by floors) Partial „riaoof & Tear off existing roofing tin cap ,1 -30# felt mop 1 -30# felt and 1 -901b. slate with hot asphalt and install AG -3 Barrel tile. New addition: Install tile only. and for no other purpose. New Building Remodeling kililajtall the orpieydiri P.r ,...R./R... No. of Stories To be constructed of Kind of foundation Roof Covering Estimate Total cost of improvements $ 11 760 > 00 Amount of Permit S. 15.00 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 Suction 5966, Compiled General Laws of Florida, Permanent Sap ileinent, and has complied ssith the provisions thereof, and will require similar compliance from all , .ntractors or sy> ntractors employe by him in the work to be performed under this permit; and will post or cause to be posted for infection on th- to •f the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su' •err • • • to be perfo �, d u this pcnnit, as are licensed by Miami Shores Village. / / Remarks :.� / / STATE OF FLORIDA, COUNTY OF DADE. s 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 e.. Permit No. "0 Date 4 / IM9 Read, Sworn to and Subscribed before me. Disapproved ��� .. I ` Date (Signed) Building Inspector Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE Chair:nan Member Member Member Member Member — •• -• - -•• Council Approved Date Disapproved Date NOTE: A charge of $I.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Huard. A re-inspection fce of 31.00 will be charged when such re- : Inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. Ij 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- 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. ., 19s Owner's Name and Addre -r 1 •. -3�: o J O er i s s e:c1 No 10 8 Street o 1 o �, 6th d a ;--)"...; Registered Architect and /or Engineer i..ia i i,.11or et.; Name and address of licensed contractor____s7_A_(i_o____L .1)ALQ i_ a...._Li.t ;_o_____c, __ 111 _a__C_Q_A____4:;.20.0.___.0.■.R_11. a:._Q .AAVC 4 ∎ 1 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done S'j_x l._n_s�S�_a State work to be done and purpose of building (by floors )___T i? __ -liar? - 07J 1 and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories To be constructed of Kind of foundation Roof Covering__.ti_CCl___Cai. .1 :___T_i1Q____ Estimated Total cost of improvements $90.00 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 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. Q , /� J Remarks (Signed) ` / � J 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 he foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No t1 Date 1J`" a Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida _ Building ector 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. re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty terials and /or workmanship.