Loading...
123 NE 97 St (2)Name and address of licensed contractor E r_'u. Location and legal description of lot to be built on: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PPLICATION 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 C __ - , 19 s a Owner's Name and Address .8.E KC No 12-1 Street_ _._ Tr Registered Architect and /or Engineer 6 E 2- /25 ` - SCR Lot Block Subdivision Street and Number where work is to be done 2- N . 1 /7 III= / R , State work to be done and purpose of building (by floors) New Building Remodeling To be constructed of Kind of foundation 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 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 spbcontractors on work to be perfoRmed under this permit, as are licensed by Miami Shores Village. I I Remarks________ 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, bang by e first duly sworn upen oath deposes an says that he is the of the above d ' d cons uction, th t h has carefully rea the foregoing application, and that he did sign the same, and that all facts therein by him state .\ e ' . � ? __ U= Permit No Dat l � t> > Read, e —.._ _J � Read Sworn to and Subscribed before me. Disapprove �� / ll J� -Date �� Notary Public, State of Florida (Signed i ^ mi l/ ' —' 1��( �!,� f My Commission Expires Building Inspector Chairman Member Member Addition Repairs No. of Stories RoRf (Signed) t PLANNING ARD DATE Member Member Member • f and for no other purpose. Council Approved Da . 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. 1 t REQUEST FOR INSPECTION i Company / _0 t 5,01'" ---- ...4 PHONE , • , If Job Address Inspection Time Ready A.M. P.M. ^ ) Date Ready.._ BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING, ❑ El Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FL r p = IDA DATE PERMIT N? 5880 Contractor's License No Work to be performed under this Permit Owner of Building B1 195 Subdi- vision Address of Value of 1 Amount of Building -' r Project $ 1 Permit $ This permit is granted to the contractor or builder named above to construct the building or to in the equipment or device described in the application 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'{he statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 regula- tions 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. Owner's Name and Address Lot STATE OF FLORIDA, ss' COUNTY OF DADE. Before me, the appeared Permit No Disapproved (Signed) ____ Council Approved_ MI MI SHORES VIII_ GE BUILDING INSPECTION DEPARTMENT PPLICATI ®N FOR 8UBLDING PE D -- U —— — — 194, 1st-co f 1 No.4 Street— �� Registered Architect and /or Engineer //� Name and address of licensed contractor s ice- t , F ( A 2 a :-I--IQ Location and legal description of lot to be built on: Subdivision Street and Number where work is to be done / 3 e --t 7-- State work to be done and purpose of building (by floors) _and for no other purpose. New Building _________________________ Remodeling____________ Addition___ Repairs No. of Stories_______________ To be constructed of_________________ Kind of 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 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, orA work to be perform under this permit, as are licensed by Miami Shores Village. Remarks ndersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally and who, being by me firs duly sworn, upon oath deposes and says that he is the of the above de c struction,. that T he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hi sta eda$ true. (Signed) MIT I` ead, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires____— _ ■ to me well known, PLANNING BOA1D DATE Chairman / ember Member ' ember Member Member 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 fr materials and /or workmanship.