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240 NE 97 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ? - / 9- I b Job Address a o N E q / , . Tax Folio ' ' 506 c7 I • 4_,o O, Legal Description c ! Historically Designated: Yes No Owner/Lessee / Tenant 5(4 24 ri 1 rch4) LK a Master Permit # dej--5 4- 1 4 Owner's Address 2L/ D N E q' S Phone 30S- 7 6 C i Li 3 3 7 Contracting Co. Se L P Address Qualifier SS# 2 Phone ( 3 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOF NCE SIGN WORK DESCRIPTION pour GO>7 Cf2 )2_Tet, pa ti: • ' ` EpL- A eE t ST( I (vA R / 41./ca 1-12p R o vE D) woo D D tzlC. c A) 7 jE Co c . T , Square Ft. Estimated Cost (value) 1500. 0 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction m this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. a of owner and/or Condo President Notary as to Owner and/or Condo Pr My Commission Expires: FEES: PERMIT p,RY PV LA Co 0 RADON Date Date OFFICIAL NOTARY SEAL BARBARA ANN FUGAZZI COMMON UMBER ©C7234,60 i'.tV COMV3SSION EXPIRES MAR. 292002 C.C.F. APPROVED: Zoning Building Li Mechanical Plumbing Electrical Notary as to Contractor or Owner - Builder My Commission Expires: Signature of Contractor or Owner - Builder Date Date C,0 NOTARY J BOND TOTAL DUE ¢5 Engineering PLANNING BOARD AGENDA OF 41v•9 , kcriviP ITEM NO. Name of Owner/Applicant StIVN k bw1 0. Phone No. /61- 10 Address of Property, and /or Legal DescriptionJti 1%M 91 Oar Nature of Request witonkt. `0t" WOOD DXP \4 D y o Present Zoning R. `34 Area of Present Building Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances/ VIMAl4tS Pst4p. 1'0 P Cii4CrC ilot.GK• iN R IIS1it Counci 1 Action Requi red 11'*5 Date of Applicant Notification Planning Eoard Action A. ?PR1 b1gt(i Council Action \1.7 11. ..._ ri A,1 toe Lef cfliores9111.age F L O R 10 A Director of Building and Zoning i 1177-'7.- 1 1 st rE10 T HOMAS J_ KELLY, INC. CORAL GABLES. FLORIDA 33134 L.+ND SURVEYOR SURVEY NO. —� / t TELEPHONE: 444.7892 SHEET C,F _L SURVEY OF LOT SUBDIVISION _.:, — • -_ -- ;. r r = � A....f; 44_%''"'2C -- • BLOCK v ACCORDIM TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK No. _ Q - �1C RECORDS OF . Q-4 75 ATPAGENc: . = - �'r, � ,:., �3 — 7 . ` , COUNTY, FLORIDA. DATE: - f � 7 FOR: r--� �—�'�' f INSURANCE RATE MAP TED )EP 30.1472 AND REVISED. MARC .;3T' I'U_;_iLi•IED BY THE UNITED SI TES , i Ei.-r• ,;,. -. � .OPM's_NTDELII EIN • • 5 LAIN:DTO SESI UADED IN ► HIS IS NOTA FLOG HAZARD ZONE ( ' 0) . - �t f„Ae4 LOCATION SKETCH SCALE 1 � 7 - /4 S • i t ; , , I -x`�j c "t i c k / fa - it ? )/ ! /, '-�' - '- _ –pis— �'�-' /,-,/, .W - - -• +0._ - "-...."7"::- ....1.,...:..... p w i'- • s5: • er. MESS 244ME 97 sr bIt Ct VCE T Y •-• 2.7X .!-I. I P. T.. 1D E L. el 8 2A (P X OP RAN15ET TO 14 • DEcK • ki vklt. • Aar., r „cow CV 4.ev: r ix.: esb "" w "! • ;!: GNi • • • • .• CotIcgc.T rztikiC- GATE \ 1 o e. Js 1 . ' • Square Ft. c a FEES: PERMIT V®- 0 0 RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 2`7 0 NC q? S T Tax Folio /1— 3 2© — o / 3 Legal Description A 3-c / Tenant o� t4 z�1 darc u) , c/eL Owner's Address L/o NC C q 7 of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: Historically Designated: Yes Master Permit # Estimated Cost (valu ature(f Contractor Phone 7s--9 g 33 Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION in ile c/oc s l� 000, irt WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. f Notary as to Contractor or Owner - Builder My Commission} Expires: ®'3/0 2_, No '/10 ' Date Date C.C.F. o 0 NOTARY (.5700 TOTAL DU ¥ .-5 APPROVED: Zoning Building 1 " " Electrical Mechanical Plumbing Engineering FOR YOUR INFORMATION You can expedite the frequency of trash pickups if you will place leaves and small trimmings in containers. The use of garbage containers will be satisfactory. However, they should be painted green and kept separate from the regular garbage containers. When you have a trimming project such as large limbs and large hedge cuttings if you will call the office the chipping machine will make the pickup promptly. Please place all fallen and decayed fruit in the regular garbage can so that rats will not be drawn to your area. ° / . ) • -49 „rt TS r i ITEMS N NAME CONTRACTORS & SUPPLIERS NAME & ADDRESS . Arr;hitecturalg. ans 2. Asphalt v ?alks drives, etc,. 3. Cabinets - Bath Vanit 7 Cabinets Ki S hen � ii-."=.6didi..--iwt' j j j . . Cabinets . - Medicine 1 r rs., I�� �f�� _ 6 Cabinets = Unit Closet . .---- _ 7. Cleaning 8. Clearin Site 9. Concrete = Foundation, Slabs Bt s % ; .. " 7- • - ' 10. Concrete = J,,adrives,etc. i ie t 1 11. Contractors Fee - - 12. Electric Fixtures • ••- 13. Elecfric Wiring F FNIFACOMMIr d) 64 ,/ 14 pRuipment Rental 15. Exca . .- 16. Fill for S1r .b ! 170 Floors - Finish wood & kitchen / / - 18. Floors - Terrazzo - - -- 19. Garage Doors " "-141111" f!.r_:_... . . 20. Glass Sli.din• Doors / /. / .. ii ` 21. Hardware - Finish l l 22. Hardware = Rough 23. Heati.n.. e v- _ . 1r , _: ��� r r 1 ,1 ✓ - ' ' . 24. Insurance = Liabilit . com.. bond f i � �' ! i M My; s_. . 25. Labor - Pa oll 26. Labor o Contract - --- . 27. Labor - Contract - -- - 28. Landsca Fill, Gradin: , ,,. �d f 29. Lath Plaster. Stucco � �� c 3O. Lumber All . .- I 3 31. Masonry Labor =- n n. J ., IX ..; ,. 0 0 e « « 32. Nasonr Iaterials Block 1 1% 33. Millwork 34. Miscellaneous v v.- 35. Ornamental Iron Work - - . . 36. Oven & Plate Built -in _. 37. Overhead - - 38. Paintin: - - - _ - - - - --- / 4O. Piling Foundation - - 41. a'lumbin: Com.lete i i! > WA y - �� 111P ' 2. Pool - Swimmin: _ 19t9446' < ' ' _ p 44. Woof Trusses o Pre-fab. t t , y * 4 r r 45. Screen Enclosures __ - - 46. Septic Tank or Sewera:e 1 1i... ' , 1 n n IL. OWNER LOT BUILDER BLOCK 1MIAMI SHORES VILLAGE APPLICATION FOR FINAL INSPECTION Prior to a final inspect._ n this application must be filled out if sub contractors have failed to take out permits the general contractor shall be responsible for the permit and fee. A final inspection riust be made prior to the release to Florida Pourer and Light Co. and the issuance of a certificate of occupancy. JOB ADDRESS SUB. DAY LABOR CONTRACT DATE k-/e/ 19 6. Builders Bond Dust AecoIIpany this Application for Final Inspection - OWNER'S NAME i / a 6 met � ✓4TE2 . PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) �1c P!. ac . 9 7 � ++ LOT f 7 1 BLOCK 3 0 S /� �d. a.4•e. J4 .• t 5 Se• -T 'I 4)" n ( GENERAL CONTRACTOR as ran J„ -F +Er ADDRESS PHONE NO, LICENSB NO. o / 19q • BUILDING PERMIT NO. kS ` DATE ` PERMIT FEE $ 3L BUILDER'S BOND NO. 2( ' DATE ( ° ..Z'b" F,. r � tt ZONE '��a REQUIREMENTS ai •o ® CU. FT. PLAN CUBE 1 '� 1b 3 •t® CU. FT. a EST. COST $ ��' DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: t• % DATE £. - - -- 1 BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE NEW CONSTRUCTION TYPE c• • S S STORIES e a ROOF CONSTRUCTION T, le INTERIOR CONSTRUCTION 2 Bet morn . 'L 6 o.4 (Lc s _ DESCRIPTION REPAIRS 4¢..rea. -- to ..r•S PL..s 4 ._ et Q1=, ta �,.� 1 . ALTERATION DESCRIPTION 1 - Le,41 cL$ ma_ - , • 4, $31% .- ADDITION SUBMITTED TO PLANNING BOARD APPROVED ,EJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTEn TO VILLAGE COUNCIL REMARKS CERTIFICATF OF OCCUPANCY NO. dl '1.-- -.asv1 ISSUED 41.4./ A BY ate. -Er TO �� �- DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: t• % DATE £. - - -- 1 BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS I DATE BY INSPECTIONS DATE e n-mil BY FOUNDATION SPECIAL PERMITS ROOF $ FEE BEAMS & LINTELS 1 a 7g c. I POOL 7 SEWER FRAMING I $ AIR COND. SOLAR HEATER $ FINAL I RANGE CONN. CLEAN UP FIXTURES I SLAB $ 5 SLAB ( FIXTURES & FINAL SPECIALS PERMITS PHONE PERMIT NO. DATE FEE NEW BLDG. - I ALTERATION 1 ADDITION TEMPORARY SERVICE SPECIAL PERMITS I $ FEE SEPTIC TANK 6dc+aYy -1 r;1/41-79 a 7g c. I S ?e,r...) 7 SEWER I $ SOLAR HEATER $ MOTORS $ RANGE CONN. GAS FIXTURES I S $ 5 CONTRACTOR 4- ,---o ;1— . 41 . C e --7 ( -; E P� PHONE PERMIT NO. 2 `,2":6'- 1 DATE ` J - 1°'' '7 FEE $ NEW BLDG. - I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS RANGE CONN. $ FIXTURES $ 5 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. ( FIXTURES & FINAL BUILDING INSPECTIONS r S' , ;' PLUMBING NG PERMITS & INSPECTIONS CONTRACTOR � I 1 / 4 , �'✓as� F/cn.e' PERMIT NO. ���� s/' � I DATE 6 ' " NEW BLDG. ` 1 ALTERATION 1 ADDITION DATE BY RE- INSPECT BY RE- INSPECT INSPECTIONS ROUGHING TUB & TOP OUT SEWER SEPTIC TANK SOLAR HEATER FIXTURES GAS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE $ REPAIRS BY BY CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1712 Owner, Agent or Tenant of Building Chen Lot 7 Street Address 10 I:'3. 50 Block 30 Miami Shores Village, Florida, 3 ° 3 - cap Subdivision 'c f :s,ssr Approved use by occupancy 7 l^: t r o c + `' n � } " u, . o e' c' Remarks :;3f This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings gr structures. LDING DIVISION BUILDING E MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL PLUMBING 0 PERMIT N? 9115 ROOFING 0 Owner of Building t Architect Contractor or Builder Legal Lox i Description 11 BI Address of Building ,i)14.- -Ty CONTRACTOR or BUILDER Work to be performed under this Permit A 1 14 i 1 Date I 19 4 '1 Contractor's 0 .• License No. Subdi- vision Sq Ft Value of c ,.; Amount of Project $ I I Permit 4"; 2 . This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in th ,. applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance Ns ith ari plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be rcvuked 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) BY In consideration of the issuance to me of this permit I agree 63 perform the work covered hereunder in compliance with all ordinances and rtgulatirm pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. elP "e AUTHORITY BUILDING JZ] ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building Architect ce Contractor ( or Builder MIAMI SHORES VILLAGE, FLORIDA ~. ' ) Date _ = 7- _ 2:2 PERMIT N? 8866 Contractor's License No. c - Legal Lox -- `) Description / B1 r Address of ` _ - f Building 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with am 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 NA hich 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 assume; respon sibility for work done by his agents, servants or employees. CONTRACTOR or BUILDER Work to be perforated under this Permit Subdi- , ,_ 1 r r vision E Sq. Ft. - Value of � ,� H Amount of i Project $ �, rti II Permit $ Signed 1_2 - (INSPECTOR) =$Y 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 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot_ [ 3G D5 NG NSPE TR DEPARTMENT IT AO FL0r. TOE3 l Goo C UOLO M PE MIT 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. a Date___! / ,19 _ -J Owner's Name and Address j3 ✓ -__ )6 00 A1 No 2 D ___ Street__! g' _ _ _ _! Block 2 Subdivision _,A-n„ '4 State work to be done and purpose of building (by floors) _ /dl 7'® A__2oji Street and Number where work is to be done *re)zer___ 9 _ 7 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 $_____ /_de) 0 — Amount of Permit $ 1CP '— 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, on wo to be performed under this permit, 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 administer oaths 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 rp try:e. Permit No C Date 3'- Read, Sworn to and Subscribed before me. Disapproved (Signed) to me well known, Notary Public, State of Florida Building Inspegfor My Commission Expires__.__- NNING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for ins. lion or faulty materials and /or workmanship. Owner's Name and Address MIAMI SHORE VILLAGE BUILDING INSPECTIO DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. - ate. ,19 --- -__ - - No Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot 7 Block 2Y 0 � L A Subdivision -7 — ___:___:__:_ r �?- ?!t2_ '-t= _j Street and Number where work is to be done � � State work to be done and purpose of building (by floors) �'�^ '�:lZrl � ! 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 $ 7:00 Amount of Permit $ Zone cubage required -Plan Cubage_ Distance to next nearest building ............. ____._____... _Size of Building Lot Maximum live load to be home 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 subcon on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks__ - (Signed) r 'a'`- 1- 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. Permit No._________ . . Date Read, Sworn to and Subscribed before me. Disapproved ______ Date_ __ Notary Public, State of Florida (Signed) 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 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. MIAMI SHORES VILLAG 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_.._ a • Z 4 , 19 427 Oun'i s Name and Address_ 14 'F' T . '�-• . -- No _ -- Street. Reg stered Architect and /or Engineer.._ Name and address of licensed contractor. % c /11 .__j ) _i/_ __. Location and legal description of lot to be built on: Lot 1 Block . 6 Street and Number where work is to be done State work to be done and purpose of building by floors )_ Y . _ - Z . 64.:i -tt New Building ✓ Remodeling Addition To be constructed of a R, S Kind of foundation__ e. • n Estimated Total cost of improvements $____p . `- Zone cubage required Distance to next nearest building_ Maximum live load to be borne by each floor___ I hereby subn all t he plans jpecifications fo► said buildi g. All notices wi refe ence to the building and its construction may be sent to-- -._ /_. ��-L- The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Sec:ion 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 subcon actors, on w9rk to be performed under this permit, as are licensed by Miami Shores Village. Remarks-- - - - -- - (Signed )__,f! -4.2/ STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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 ted are. true. Read, Sworn to and Subscribed before me. Permit Disapprove (Signed) Chairman _ Member _ - -_ Member . Council Approved ss. // 1 Date Building Inspector Subdivision__. tot ./_4 fvf 5 r 4.3 PLANNING Bt! DATE Member Member Member _Date Disapproved .__.... ARD. �Q re? Repairs e.,, Amount of Permit $ plan Cubage_ 4 ' - 7 Size of Building Lot y \Notary Public, State of Florida My Commission Expires__ r and for no other purpose. No of Stories f Covering-_ A. to me well known, 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ?L,qa 4-4-GA ¥L AN c- 6e. c Ili • C Ed o 1 Z• °° — FL. A$ 0 n � So 4 /o • �3/31-,0" � 4: 4 » - P co 66 S /jrmc �• Fr . s6 s.. FT ISr S. F . 1 E• pl. A d t - 4 0, e1 /$7 r a • d �...► 4. I4.. re : Z -. pt&# e. z•, 4" y,. p.t..►+•. 4" )v i7-'` 0 0 6 e h eoe . Si 0 r -31 —(.7 14 . /ref x 12:Z , ik3.ra 3e p/4„ 6e_ I r ^4 �. v 6g. pri / r- r ov- irchitect )wner of --- ...ontractor or Builder Legal Lot 1 1 1 1 B 1 Description Address of Building CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA BUILDING [tI ELECTRICAL 0 PLUMBING 0 PERMIT N? 10638 ROOFING 0 Work to be performed under this Permit Subdi- vision Sq. Ft. Value of Project Qt Date 1 Contractor's License No. BY AUTHORITY 19 jJ Amount of II Permit $ C, • 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 herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance xith 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 assume respon- sibility for work done by his agents, servants or employees. • Signed ,, (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 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 PLAr4•ING BOARD__ __ . DATE Chairman Member Member _____ Member Member _ ____ __ _ . Member Council Approved __Date Disapproved , Ownei s Name and Address.._ , %�.� / e r - _ _ _ _ No Registered Architect and /or Engineer... _ 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 i State work to be done and purpose of building (by floors) ' ' °� [ i�< < % r ; or c c - Street__. ' and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed ..... Kind of foundation l � �'` 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 foi said building. All notices with reference to the building and its construction may be sent to._ The undersigned applicant for this building permit dot. 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 subconactors „on work to be performed under this permit, 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 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._____5("S Date._ ' `- ... Read, Sworn to and Subscribed before me. Disapproved ____ ___ _�¢_ Date �.) -�� __ r t'/ Notary Public, State of Florida (Signed) - - ..-=__ :_ ° .. - - -- -- Building Inspector My Commission Expires_ 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ? r= ao r v