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136 NE 96 St (2)Registered Architect and /or Engineer Name and address of licensed contractor t 6 Location and legal description of lot to be built on: fit AP ��..,.m Block 19 Lot MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby usndc for the approval of the detailed statement ur ine plans and specifications herewith submitted for the build • inc 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. C' Owner's Name and Address < °° R s a°%Yh' �?:T^.fv No... / 3 6 s _ ..... Street._.. ii 26_ r Street and Number wheys work g (by to be done _ . Yo � State orkoo be done n pu osc of build; b y floors) .1� � Pc- Sy / _. __ s . .:. ._._ /tyke / `ii d/ Subdivision ......1. /.1...[. _IC... 10 / ✓ 1 .. 3 ..._......_..._9_. sr ,�_ .... s� _..__ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories vS To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ••• - ep ®e ~ U " Amount of Permit $.. isr 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 ssith the provisions thereof, and will require similar compliance From all contractors or sub - contractors employed by hips 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 suck ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wo, to be performed under this pennit, as are licensed by Miami Shores Village. Remarks. .._ (Signed). STATE OF FLORIDA, COUNTY OF DADE. i Ss. Before me, the undersigned authority, a notary public, duly authorized to adnsinister oaths and take acknowledgments, personally ap- peared 4 s,::. <,•••en•v:n»rva••:•ns,,,,, �5 R - , f 37 . i3 6 -A'/ 96 s r —. 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 e. � L . — Permit No. .._. . . 1 Date..... 7 •' l ' Read, Sworn to and Subscribed before me. Disapproved Date.. (Signed) �. 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 fee of SI.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to beGiSuilt on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors)______ 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. 19 Owner's Name and Address Date ""�"�''► No. eet To be constructed of Kind of foundation and for no other purpose. New Building Remodeling Addition Repairs No. of Stories oof 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 1 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. BUILDING ELECTRICALk PLUMBING Work to be performed under Owner of 7244,771/24.1 't...� Building Architect Contractor ' r y or Builder CCC777 Legal ; Lot Description Address of f f Building /36 C . NTRACT6R OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 5776 Bl. This pe'PliiIrtrrare contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation 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 b the proper unicipal 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 • .nge. ,, • ho utl ation. A further condition upon which this permit is granted is the understanding that the contractor or builder named above a I - 'eonsi.j y f horough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on . "' �,- .- cifications and that he assumes respon- sibility for work done by his agents, servants or employees. • ��' = J , , . , In consideration of the issuance to me of this permit I agree to perform the wor cove . hereunder in compliance with rdinances andJ� pert. •nin. theret. . d in strict conform' with the plans, drawings, statements or specifica ions submitted to the proper authonti of Miami Shores Vi age. In c: r: of it I assume res10 ility for all work done by either myself, my agent, servant or employee. • Signed. Subdi- vision Value of Project BY f Contractor's 7v License No. /Q 7 0 Amt. of ; AUTHORITY 1942_ By BUILDING - ELEC'TRICAL PLUMBING Owner of Building Work to be performed under this Permit Architect , . Contractor � (I 4 Y or Bulkier Legal ✓ Lot BL Description g y( Value of Amt. of Building V �' ` ` i ! ' ✓ � ^ ` Projec Permit OP.— This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descri . . the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in oom . , • • ce with any plans, drawlngs statements or specifications that may have been submitted to and approved b the pro . er • • icipal authorities. This Permit may be revoked at any time • the work is not done in compliance with such ordinances or if the plans are .. ged ' ou : hth. tion. A further condition upon which this permit is granted is the understanding that the contractor or builder named above .1 'b'. f.�� orough kimowEled of the. ordinances and op , ii ons pertaining to the work covered hereby "whether shown on - . . ," , 1 - r. - r .. ications and that he assumes respon- regulations • for work done by his agents, jervants or employees. / " " _ Signed: . i - .[_ .,rS ..+ rl1' • • • • arcR OR E MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 5776 Subdi- vision Pet4.4a.,4, • BY /6- 7o Contractor's ! s/ License No. AUTHORITY 1942. c By In consideration of the issuance to me of this permit I agree to perform the work 'cover • hereunder in compliance with all ordinances and regulations in strict conformi , with the plans, drawings, statements or specifics. •ns submitted to the proper authorities of Miami Shores Village. it I assume r. Y. 'ty for all work done by either myself, my agent, servant or employee.