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ROOFINGMIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. march 28 77 Date..._..._....__...... ....._.�.__._�_..._.�.�........ , 19.._._ Owner's Name and Address Harry Ackman ... ...M� _. No 1271 .. Sa .� N� St, R egistered Architect and /or Engineer ,. . .....,,,,..,,.,,...,.,,,.,,, . - - -... Name and address of licensed contactor O b e n o u r Roofing C o, 7357 N. W m m a i m i C Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1271 N. E. _ 97th St. _.. . _._ Remove the existing roof and � State work to be done and purpose of building by floors) _,_______.,.__._,__ tep 1 a e e with white shingle tile roo on sloped area 4 ply built up asphalt and gravel on flat. _ and for no other purpose. New Building Remodeling Addition Repairs )` No. of Stories To be constructed of Kind of foundation Roof Covering 4 Estimated Total cost of improvements $ 4500.00 Amount of Permit $. 37 s q s. 12.50 Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot i Maximum live load to be borne by each floor t N. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may e ,. 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 Sn plei nt, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 ..+ a notice or notices as are required by the Act. The undersigned agrees to employ only such subcon _. ors, on worlyto be • /r der this pennit, as are licensed by Miami Shores Village. Remarks (Sig. • ) 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 true. a Permit No.._ ? Date ✓ - 3 0- 7 - 7 Read, Sworn to and Subscribed before me. Disapproved Date. (Signed) J °� Notary Public, State of Florida � � � � � Building Inspector 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 hoard. A re-inspection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 piiQgress of the work. No ....... Stm _ ._ _.._.__• Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Disapproved _- ( Signed) ._._ Location and legal description of lot to be built on: v , j Lot /7 Block 3 Subdivision._... . ----'` `s -e _ Street and Number where work is to be done / z.7/ /= _ 7 � State work to be done and purpose of buil • ' g (by k , oors )....... Date._ PLA INC BOARD _,._...._ Notary Public, State of Florida Bui • . nspector / My Commission Expires Repairs No. of Stories and for no other purpose. New Building Remodeling Addition To be constructed of Kind of foundatio Estimated Total cost of improvements $ CAD. 1? 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 pennit 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, Pennanent 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 subcontrt ( ors, on w k ty be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Roof Covering STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persortally 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 rn.n . Permit No. 2. ate Read, Sworn to and Subscribed before me. 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 13oard. A re 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 1 1 MIAMI SHORES VILLAGE, FLORIDA n PERMIT N? 12797 El Work to be performed under this Permit_— Architect Contractor or Builder Legal it II Bl. Description. Address of Building CONTRACTOR OR BUILDER Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefcr 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 responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of t :iis 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 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licgnsed contractor Location and legal description of lot to be built on: STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No / 4__ , Date L ' Disapproved D_ ate (Signed) %, ‘ \ - BdiIdipglnspector - MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date , 19 No Street.. Lot Block Subdivision Street and Number where work is to be done /��D__ L '- /1 __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 foundation Roof Covering Estimated Total cost of improvements $____l ® ® �� Zone cubage required Amount of Permit $_ _____��_.______ _flan 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 subcontra tors, on wor,.• be •erformed under this permit, as are licensed by Miami Shores Village. .' i Remarks ( Signed) �,�y� 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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. A re -ids ection fee df $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty material. .nd /or workmanship.