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131 NE 97 St (7)BUILDING ELECTRICAL PLUMBING ROOFING C] CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N9 5636 Owner of Building Architect Contractor or Builder Legal Lot Description — � Bl. Address of Building amr Lta._ 195 Contractor's License No. Work to be performed under this Permit Subdi- vision Value of H Amount of Project $ ' 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 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 cr 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 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 BUILDING ❑ rr t'r"TP n PLUMBING ❑ G OOFING ❑ Owner of Huilding 'architect 3ontractor Builder .egal Lot )escription Iddress of iuilding CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA .�. rfM1T r f. ...... • Work to be performed under this Permit B1 N9 5656 DATE Contractoi s . .:_ n wo ' Nn. 195 Subdi- vision Value of H Amount of Project $ H 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 tranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations , ertaining 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 lone 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 , ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 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 stru:ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, F lorida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th; 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 sod Address ...:,.... :.% . z No \__._._ Street ' Registered Archi ect and /or Engineer C CI t- 19 c 0 ti q Name and addl.( ss of licensed contractor t G t` ... l I e fE w 7 t' Lk) - Location and leg d description of lot to be built on: Lot Block Subdivision Street and Numl where work is to be done / 3 / /t C7 7 State work to bf done and purpose of building (by floors) ....__.___ Date 1 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructs d of Kind of foundation. • A mount o f Permit $ Estimated Total cost of improvements $ �� Zone cubage re wired .Plan Cubage Distance to nex : nearest building Size of Building Lot Maximum live 1. )ad to be borne by each floor I hereby su amit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The unders gned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under he Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has compli4 d with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to 1,e 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 an required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are 1 censed by Miami Shores Village. Remarks ( Signed) Roof Covering ,19 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 ch scribed 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 Permit No 5-6. Disapproved Notary Public, State of Florida (Signed) Date ' '-/ 0 -, / Read, Sworn to and Subscribed before me. uilding Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ...__ _ Member Council Apprc ved 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 B )ard. A re -inspf ction fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/1 r workmanship.