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50 NE 96 St (8)fhwmer's Name and Address .///.. Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss. Building Inspec MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ration is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ner structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami /illage, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and .tons of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved and specifications must be kept at building during progress of the work. ( �. Registered Architect and /or Engineer {� Name and address of licensed contractor T L/ Location and legal description of lot to be built on: Lot_` % ✓ �> Block Chairman Member Member ...__... Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. 50 ` off_ Date 2i (, // o � l �` Subdivision__ _. h 2 '% State work to be done and purpose of building (by floors) /; �. � r, PLANNING BOARD DATE and for no other purpose. New Building ''' �/ Remodeling Addition Repairs No. of Stp -/ To be constructed of 2 ` Kind of foundation �� ' - ,, e , Roof Covering C t , Estimated Total cost of improvements $ 1 c) C �' p Amount of Permit $ \ _ Zone cubage required � % � 7r'( > 7, g eq / C _ 7 " Flan Cubage a L o Distance to next nearest building _... ' i) r � D 0„ Size of Building Lot � ;0 P ' 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 , Ji , . t o ��� � h ,a / t i` � C1 G ZA-i > 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 , �� < ) ; z eet 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. �, < >- S� Permit No _ Date 7I ` t - ' - Read, Sworn to and Subscribed before me. Disapproved ��,,. `. ,.__ Da (Signed) Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 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 1r° 6- q ° , 19 Owner's Name and Address. ._...cf ; • ... L am '.. No Street Registered Architect and /or Engineer , , ' • Name and address of licensed contractor_.__.. -!' f! •-' ,.-.. ` % - �J• h, � Location and legal description of lot to be built on: Lot Block Subdivisio e Z.: Vrc .� , Street and Number where work is to be done_:' .) e -' State work to be done and purpose of building (by floors) 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 $__._Z '��'`'" 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 subcontractom-on work to be performed under this permit, as are licensed by Miami Shores Village. j,, . , Remarks (Signed) z ... .�,; - r 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. Permit No.__.___" ��% Date 2 " 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 c l`ge9 - -$1,90 will be made for making corrections or changes to this application after approval has been obtained from the banning,� oard. A re -i 5 ection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materialsid /or workmanship. EUILDING PERMIT NO. ZONE JCS LOCATION (ST. OR AVE.) REPAIRS ALTERATION OWNER'S NAME GENERAL CONTRACTOR ADDITION SJBMITTED TO PLANING BOARD RE- SUBMITTED TO PLANNING BOARD cUBMITTED TO VILLAGE COUNCIL TYPE NEW CONSTRUCTION DATE REQUIREMENTS CU. FT. APPROVED DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY STORIES ROOF CONSTRUCTION REJECTED LOT PLAN CUBE PRESENT ADDRESS • PERMIT FEES ADDRESS r BLOCK DESCR IPTION DESCR,PTION REFERRED TO COUNCIL • CU. FT. REMARKS CERTIFICA TE OF OCCUPANCY NO. ISSUED (' BY 1 TO i, 0- BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE LICENSE NO. PHONE NO. EST. COST S SUBDIVISION BUILDER'S BOND NO. DATE INTERIOR CONSTRUCTION REASONS PHONE NO. LICENSE NO. DATE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION FEE 7% ! FEE TEMPORARY SERVICE $ SEPTIC TANK BEAMS & LINTELS $ ‘ QJ / /:f %. SEWER $ RANGE CONN. FRAMING $ MOTORS $ �� GAS $ FIXTURES $ $ INSPECTIONS DATE FINAL RE- INSPECT BY RE- INSPECT BY ROUGHING (' /:-",-.. CLEAN -UP - - •., n GAS } PERMIT NO �: "� DATE � FEE$ l t•: NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE FEE TEMPORARY SERVICE $ SEPTIC TANK _ $ ‘ QJ / /:f %. SEWER $ RANGE CONN. SOLAR HEATER $ MOTORS $ �� GAS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING (' /:-",-.. TEMP. SERVICE - - •., n GAS } ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK O— 1- j ! *l∎ SOLAR HEATER FIXTURES FIXTURES & FINAL CONTRACTOR L (;''` I .', . PHONE PERMIT NO. DATE ��, ,� FEE $ ,O,''• �` NEW BLDG. _ ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ti-ac ,r� $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE `N. �,_ b " I^ �-�- - �- '%� n , ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL CONTRACTOR BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA ❑ DATE 195 ❑ PERMIT N? 2358 Contractor s License No. ❑ Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Amount of 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 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 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- BY INSPECTOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY u BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA Architect Contractor or Builder Legal Description Address of Building Lot 0 ❑ DATE—_ 195 ❑ PERMIT N? _ 2459 Contractor s License No. 0 ❑ Work to be performed under this Permit — Owner of Building Bl. Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the ccntractor or builder named above to construct 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 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR Iry`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 ia' strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I pastime responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY A UTHORITY any,, BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ DATf"`"4 op, I , 195 ❑ PERMIT NA - 2h2 ,contractor's ` .�. `• ''' ` W ' . nse jig :.� ii 4 4 ; 1 Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER Work to be performed under this Permit Bl. Subdi- vision Value of Project $_�_ Amount of Permit $ This permit is granted to the contractor or builder named above to construe 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 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed BY INSPECTOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY