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320 NE 96 St (5)BUILDING ELECTRICAL PLUMBING R ING Owner o Buil Contractor or Builder "r.- Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA 0 i /./ PERMIT 11T° 4939 Architect •-■0 .1 • 1� / This permit is granted to the contractor or builder named above to construc 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 auth• ea.., 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. granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough pertaining to the work covered hereby whether shown on the plans or drawin or in the tatements or speccatio done by his agents, servants or employees.) CONTRACTOR OR BUILDER • Bls Signed. Contract License DA ! - 2 - 195_2_ 0 Work to be performed under this Permit BY Subdi- vision Value of /) �" Project $ • e1 0— Amount of Permit $ z AUTHORITY a .z' further condition upon which this permit is nowledge of the ordinances and regulations nd that he assumes responsibility for work CTOR In consideration of the issuance to me of this permit I agree to perform the work cover ereunder in compliance with al rdinances and regulations pertaining thereto and in strict formity with the plans, drawings, statements or specif cations bmitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume r sibility for g11 work done by either, pttt, my ent, servant or employee. 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. Owner's Name and Address. v' n/ 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 State work to be done and purpose of building (by floors) Chairman Member Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT _ y-✓ - Date 11/4/ 3' 0 No N 9 L n`J (0 6J /iv 6_ c 1, ALL vf5u 7 pY ?'t ; J 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 $ 1 „7_ -L? `r— 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 5986, 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 subcontractors, e on wpi' to be performed under this permit, as are licensed by Miami Shores Village. C��X/� -�`'( V' ®lam 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 are true. Permit No a/ 7 D ate � ^-- Z Z - " e 5d, Sworn to and Subscribed before me. Disapproved / , (Signed) L1 - 1.- Building Inspector ommission Expires PLA ING BOARD DATE to me well known, Notary Public, State of Florida 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. 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 _ ..._ hg- � �.S r 4 j Owner's Name and Address 4 C � 1 . � N �= _- No.�.ta�_:�? Street � . .� Registered Architect and /or Engineer... .,.L+ C i -A F c' Name and address of licensed contractor... 10 Q. .. _.. __a, 'At)+} 1 --- 61.)_( Location and legal description of lot to be built on: 38 0 Rye P (t) o D R p , F-- Lot Block Subdivision Street and Number where work is to be done 3 9 , 0 _ I-) purpose / d,� p State work to be done and pure of building (by floors ).___C0.Ctfe i i � . I V 6 ' �'- - -T..i -Le IS BR!CK ._.._ p1�.1.) F 0 A-ND W R LL.S Permit No._ Disapproved ___ ____ ___ ___ (Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Ar Building Insp BUILDING INSPECTION DEPARTMENT Date __1- 7 / LANNING BOARD 6 ovo It to , F I. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation �qpf Cg�ering 00 — Estimated Total cost of improvements $ 0 Q0 Amount of Permit $ 1 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 formed under this permit, as are licensed by Miami Shores Village. Remarks (Signed ..IId.ttn4 DATE 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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 inspection or faulty materials and /or workmanship.