Loading...
3390a MIAMI SHORES VILLA1E 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 building 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 pf the State of Florida, all ordinances of Miami! Shores Village and all rules and regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of'4pproved plans and specifications must be kept at building during progress of the work. � a Owner's Name and A .. / . e'�f * . - Registered Architect and /or Enginee Name and address of licensed contractor Location and legal description of lot to be built on: - Lot Block. Subdivision -°e ,, r ` Street and Number where work is to be dono. f r '-- F - s f State work to be done and purpose of building (by floors) P I � and for no other purpose. New Building Remodeling Addition !/ Repairs No. of Stories To be constructed of Kind of foundation Roof Coeering Estimated Total cost of improvements $ 6 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 Computation 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 perforn►ed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA. I COUNTY OF DADE. f m ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to nee well known, and who, being by me first duly sworn, upon oath deposes and says that he is rho of the above described construction, that be 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 - I" rof Data ' �° Read, Sworn to and Subscribed before me. Disapproved Drip Notary Public, blic, State of Florida B ding Inspector My Commission Exp ros PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved nate Disapproved nate 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 approval of the detailed statement of the plans and specifications herewith submitted fpr the building 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 regula- tions 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 Owner's Name and Ad . I/ , ' _ v= ,1.4,4; t N Registered Architect and /or Engin Name and address of licensed contractor Location and legal description of lot to be built on Lor Subdivision ` .�`7'4 ---- -- Street and Number where work is to be done ^��� � , t°�.F "� �^' (4.0' - d. State work to be done and purpose of building (by floors) 19 and for no other purpose. New Building Remodeling Addition / Repairs No of Stories To be constructed of Kind of foundation Roof Covering r " Estimated Total cost of improvements $ 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 tbis 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 compliances 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 su:h 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 Shorn Village. Remarks (Signed) STATE OF FLORIDA, - COUNTY OF DADE.' Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared 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 therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Da (Signed) Building Inspector My Commission Exppi PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved ate Disapproves 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 an d/or workmanship. Notary Public, State of Florida to me well known, same, and that all facts BUILDING ELECTRICAL PLUMBING Owner of / Building ,/ /r A'"'* CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE Work to be performed under this Permit N° 3390 DATE Contractor' License No WARNING: This Construction may be In violation of War Production Board General Limitations Older 141 You are caution'd to consult your War Production Board office before starting the work authorized in this permit Subdi- vision Architect Contractor or Builder Legal Description Address of Building 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 ;s drawin or in the statements or specificatipas and that he assumes responsibility for work done by his agents, servants or employees. Signed. Value of Project BY g ei/e.6" AUTHORITY IN PECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Owner of / Building ,/ /r A'"'* CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE Work to be performed under this Permit N° 3390 DATE Contractor' License No WARNING: This Construction may be In violation of War Production Board General Limitations Older 141 You are caution'd to consult your War Production Board office before starting the work authorized in this permit Subdi- vision Architect Contractor or Builder Legal Description Address of Building 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 ;s drawin or in the statements or specificatipas and that he assumes responsibility for work done by his agents, servants or employees. Signed. Value of Project BY g ei/e.6" AUTHORITY IN PECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.