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1181 NE 97 St (13)BUILDING ELECTRICAL PLUMBING Owner of Building ✓ ' Architect r i + Contractor c' , or Builder Legal Lot Description -a.. ' . ° d' 4A );Ne t" CUIVTRACTunt- (5R BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE • icr ../'' / -- PERMIT N? 10269 Work to be performed under this Permit Bl. In consideration of the issuance to me of this permit I agree to'p r pertaining thereto and in strict conformity with the plans, drawings, stlumen In acceptir this permit I assume responsibility for all work done by either, i yse Subdi- vision �4. Address of � ^ � ��� � � .::1... Value of Buildin g /1 � Project $ BY This permit is granted to the contractor or builder named above to construct the building or to install the equipment herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfo drawings, statements or specifications that may have been submitted to and approved by the proper municipal thorigg time if the work is not done in compliance with tuch ordinances or if the plans are changed without authorizat granted is the understanding that the contractor or builder named above assumes the responsibility f a thorou pertaining to the work covered hereby whether shown on the plans or drawings or in the state nts ifica done by his agents, servants or employees. ) / 4 Signed• Contractor's License No. Amt. of Permit e. hereunder in compliance with all ordinances and regulations cations submitted to the proper authorities of Miami Shores Village. my agent, servant or emplgyee. AUTHORITY is 195_.-C ribed in the application liance with any plans, ay be revoked at any n which this permit is e ordinances and regulations he assumes responsibility for work a i ,' O ; ! O L. k (1 ■ Registered Architect and /or Engineer. New Building .ri Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $_ Zone cubage required Distance to next nearest building i Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. ss. 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. MIAMI SH o RES 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, whethlr herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date , 19= Owner's Name and Address No Street Fe Addition Chairman Member Member Council Approved Date 1 Name and address of licensed contractor__. 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 be done and purpose of building (by floors) PLANNING BOARD DATE Notary Public, State of Florida r t` ! and for no other purpose. Repairs No. of Stories 1' � Roof Covering --- _ - ount of Permit $ _Plan Cubage Size of Building Lot _ i7- 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. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires 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 0 Df r for er Lot B BL S Subdi- BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Archite 7-ontrac or Build Legal Descrip Addres Buildin CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11701 DATE Work to be performed under this Permit This permit is granted to the contractor or builder named above to construct the building or to install equipi ant or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the war Q✓ be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper m 'spa,; a rities. 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 aut ' atiart A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility fo Irgh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the state n 'cations and that he assumes responsibility for work done by his agents, servants or employees. 195 Contractor's License No 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