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1099 NE 96 St (2)STATE OF FLORIDA, COUNTY OF DADE. j ss. 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. Date Owner's Name and Address ' t i .. ' ' = 4 Registered Architect and /or Engineer Name and address of licensed contractor_ Location and legal description of lot to be built on: Lot .Block Street and Number where work is to be done State work to be dome nd purpose of building (by floo );_ ___1 r , New Building Remodeling To be constructed of Estimated Total cost of improvements $________JL!____ _ � jtmount 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 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 s n a oa -work to be performed under this permit, as are licensed by Miami Shores Village. at Remarks ( Signed) _ Subdivision { f No 1 _.4 t Street ead, Sworn to and Subscribed before me. Notary Public, State of Florida , 19 /;'4 1 and for no other purpose. on Repairs No. of Stories R 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 b me firs duly sworn, upon oath deposes and says that itit is the of the above des ribed c. struction, that he h refully the fore application, and that he did sign the same, and that all facts therein by him s ated ar- rue. Permit No Di (Signed) Building nspector '/ My Commission Expires PLANI)fING 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. 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 ke building during progress of the work. Owner's Name and Addr Registered Architect and /or E _ neer Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION D APPLICATION FOR BUILDING PERMIT Date 4 rQN._� ±_�. Date_ Name and address of licensed contractor___ C_ r`e! — , v– ,, c,2 Location and legal description of lot to be built on: Lot–__ Block Subdivision Street and Number where work is to be done' i z._421- State woJk to done and purpose of building (by floors)___ef�4 -�2 _ . i , 19__ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories ,4 To be constructed of Kind of foundation Roof C9vering Estimated Total cost of improvements $ 02.Se' Amount of Permit $ Zone cubage required__ Distance to next nearest building Maximum live load to be borne by each floor I hereby submit the plans and specifications for said building. All n 'ces 'th 'nee to the b ' ' and its construction ma y — ; be sent t --- r-------' - - ol MM� � -s� -- 1�1'(° - 30/,? _Plan Cubage __Size of Building Lot The undersigned applicant for this builr}sfig 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 o the site of the work such public notice or notices as required by the Act. The undersigned agrees to employ •_..con. ac • on work be performed under this permit, as ensed by Mi i Shores V' a Remar ___ - - - -� STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, Notary Public, State of Florida 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 tru . �2 Permit No ? Date `� Read, Sworn to and Subscribed before me. ____ Building Inspector My Commission Expires PLA, NG 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building f MIAMI SHORES VILLAGE, FLORIDA {� / ❑ DATE 19 o PERMIT N? 7851 Architect Contractor or Builder Legal Lot Description II Bl CONTRACTOR OR BUILDER Contractor's r c l License No. Work to be performed under this Permit Subdi- vision Address of of I Amount of ( Building � = �' Project $ II Permit $ This permit h 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 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 respon- sibility for work done by his agents, servants or employees. Signed '� 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT Street and Number where work is to be done 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 budding during progress of the work. s )C , c S ate..._......_._. _ .._._....... ,19 _b Owner s Name and Address J M n/ — No ............ . Street...... Registered Architect and /or Engineer (— , Name and address of licensed contractor — Location and legal description of lot to built on: Lot l Block /7-- Subdivision ... 14 . g $ . �� 3 _ _ ..5C$ r 2 4 - 3 /0 , ,- 1 — Y.- ..-- -- 4 ,- L�csv 7 r -t.J 4 / and for no other purpose. \---- ------ Addition Repairs No. of Stories State work to be doneeAnd purpose of building (by floors ).. ...__.. New Building Remodeling To be constructed of Kind o oundation Roof Covering 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 theFlorida 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 fo n ection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ubcon• a• ors, o wo)k to performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed)...._... /� STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm ister •aths 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 Disapproved > Ehte... (Signed) G P ; ,. �. / Building Insj ector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires / PLANNING BOARD DATE Chairman Member Ucrnbcr Member Member ...... r....- _.___. _ ... -_ 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 fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oft faulty materials and /or workmanship.