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MECHANICALMIAMI SHORES VILLAGE, FLORIDA Date_ — 2 3 1947 BUILDING D ELECT PLUMBING L ° o PERMIT N 8778 ROOFING ❑ ✓% Owner g f D �r��/�f!$� s- Building �+�+�' � � � �� ��li Signed • Ze CONTRACTOR or BUILDER Architect Contractor or Builder Legal Description Address of Building Lox II Bi (44 S 1 e ...LA- In consideration of the issuance to me of this permit I ag pertaining thereto and in strict conformity with the plans, drawi In accepting this permit I assume responsibility for all work done Work to be performed under this 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 applica- tion 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 the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. t+ (INSPECTOR) BY to perform the work covered hereunder in compliance with all ordinances and regulation , statements or specifications submitted to the proper authorities of Miami Shores Village. by either, myself my agent, servant or employee. Subdi- vision Sq Ft Value of ip I II Amount of Project $ 45 II Permit $ BY Contractor's License No. AUTHORITY gotaraiso Disapproved ____ _ (Signed) ___Ze/ STATE OF FLORIDA, COUNTY OF DADE. Chafnnan Member Member _ Council Approved ss. D • te__ Buildin spector BUILDING INSPECTION DEPARTMENT ye s/ MIAMI SHORES VILLAGE 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. 3 T Y Date S . ` 2 2- Owner's Name and Address- -- A4 C N Mt C7 T ..- ---- ••_ --- -- _ -- No S 7 7 5 Street co t e,v_S_.g Registered Architect and /or Engineer. Name and address of licensed contractor. . 6 44'i 0 O A i ____ 0 . 4 1 13 CAN— , . C 6 2 ( 7 # ) I 5 4 A L-S/. . 1 �1,� �q . Location and legal description of lot to be built on: Lot__ Block Subdivision Street and Number where work is to be done 2.6 .5 Al - e . ( o ST / ' ET State work to be done and purpose of building (by floors)... _ ".At___.S_..T__A_i• L I4 • C. and for no other purpose. New Building '- Remodeling Addition -_ Repairs No. of Stones To be constructed of Kind of foundation_ Roof Covering__ _...__. Estimated Total cost of improvements $ / 3 4/ 2 Amount of Permit $ C Zone cubage required ._ _'Ian 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 fot said building. All notices with reference to the building and its construction may be sent to. - -.- ( _ _ R S N " 4 C o !J / (Lev f 6 3 2 y !V b a ") 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 5968, Compiled General Laws of Florida, Pennanent Supplement, pleent, 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) . - — •-s. _ 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 F...7 Date.._. — - 6. 7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires .4 ' v PLANNING BOARD__ __ . DATE Member 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 faulty materials and /or workmanship.