Loading...
MECHANICALBUILDING ❑ MIAMI SHORES VILLAGE FLORIDA Date —� 19AP. ELECTRICAL ❑ PLUMBING ❑ PERMIT NQ 8392 Contractor's ROOFING ❑ License No. `•!› ` 3 rt ❑ Work to be performed under this Permit Building D4 r Owner of 1 r / ^ ' t� rj Architect Contractor or Builder la , I , ., a2 C'..- J ' ' 1 Legal Lot i Description ii B1 T Address of Z 7 / � j / �/& Building J. / d T e. � J /r .l r y . r� r.„, 7 n� �t r • Ti c • ✓ t .a � `.�,t ,, Vd 7 , L..1 t B- Subdi- l•° Ir A. – vision Sq. Ft. Value of / et/ V =° I 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 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 plan a changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as mes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whethe own on the glens or dr wings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or e Ioy,es Signed ( _ _ - In consideration of the issuance to me of this permit I agree t e orm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, a te ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done either, m'self, my Eqpt, servant or employee. CONTRACTOR or BUILDER BY CTOR) BY AUTHORITY 3 r.►ev 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 buii ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami N 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. tb b el? Date Owner's Name and Address 0 4 ' £__11 x' A V o 8 No 5 7 75 - 412ti G ,196? Street__CA L Li /V S 4 M #4_ 6eli. Registered Architect and /or Engineer Name and address of licensed contractor__a /_QtN1__2 4 _ =tQi t2 C m/et 1 2 9' _IS w, . 8 '] . c. ,4 "J �- lit 6-.. Location and legal description of lot to be built on: Lot_______— Block Subdivision Street and Number where work is to be done 2 7 9 AL G . 9 '7i' El 7 State work to be done and purpose of building (by floors) //) 3- 7 CI- C u N 42d U A E ' r J9_1i0€7 D u e r 402 /'c S _S is w ® f.) 1 . rel e∎I 3 r o ry 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 $ t %_1__ `f' Amount of Permit $ Zone cubage required_ ______plan Cubage Distance to next nearest building 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 2_F/2_ /1 O o f Co Nk C t Y LA.), 711 L • 4 �°' �' i fl r /9 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 5988, 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 (Signe Disapprove ( Signed) Date Date _Size of Building Lot STATE OF FLORIDA, COUNTY OF DADE. j 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. 3 J 4 Permit No 9 -2 - Date �' L Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector '' My Commission Expires PLAN I;OARD DATE Chairman Member Member Member Member Member Council Approved 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 si tice for inspection or faulty materials and /or workmanship.