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590 NE 96 St (5),a> MIAMI SHORES VILLAGE BUILDING INSPE(ZTl DEPARTMENT APPLICATION FOR UILDING 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 June 19, 1969 19 Owner's Name and Address. A • H . Thom 590 N.E. 9 6 N St . - - o Street Reglidered Architect and /or Engineer.. Name and address of licensed contractor_._ Central Air Cond. & Sheet Metal, Inc. 900 S.W. 70 Ave. Location and legal description of lot to be built on: Lot__ Block - Subdivision Street and Number where work is to be done 590 N. E. 96 Street State work to be done and purpose of building (by floors) Install 4 Z ton A . C . unit _ in existing Building -- and for no other purpose. New Building Remodeling X Addition __ __ Repairs_. No. of Stories To be constructed of Kind of foundation___. Roof Covering__ Estimated Total cost of improvements $ Amount of Permit $ 10 .00 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 foi said building. All notices with reference to the building and its construction may be sent to___._ The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec :ion 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or � . -con ctors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins j ctioryop the si : of e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco . - p on w.J t be performed under this permit, as are licensed by Miami Shores Village. 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 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 ________ ____. ( _3 ' Date ____..__ 3'_4 . Read, Sworn to and Subscribed before me. Disapproved ____ ( Signed) Building Inspe .J.r Notary Public, State of Florida My Commission Expires. P NNING BOARD__ __ . DATE Chathnan 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. June 19, 1969 i r A.H. Thompson 590 N.E. Da Sgt. 1 9 Ow s Name and Address___ __ __ ____ __ No Street Regf5ered Architect and /or Engineer. Name and address of licensed contractor_ Central Air Cond. & Sheet Metal, I nc. 900 S.W. 70 Ave. Location and legal description of lot to be built on: Lot__ Block 590 . 96 - Straet Street and Number where work is to be done _...__. Install 41/2 ton A.C. unit ___ i. - rr`existing StatuyvQrlSi done and purpose of building (by floors and for no other purpose. New Building Remodeling X Addition _- _- Repairs No. of Stories To be constructed of Kind of foundation. Roof Covering__ Estimated Total cost of improvements $ Amount of Permit $ 10.00 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 foi said building. All notices with reference to the building and its construction may be sent to._. _ -- - - -- - - 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 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 insp tion on the • of he work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon ac.>r , on w k be performed under this permit, as are licensed by Miami Shores Village. Remarks__ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved ____._ _ _ _ Date (Signed) 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 Date Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida Building Inspector My Commission Expires__ PLANNING BOARD__ __ . DATE Chamnan _ __ _ _ . 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.