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3876MIAMI 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 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 rr}les 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. W13- 0 Y I S 81/T>vi2, .3 Dam ! �'� , 191 Street 9{ r 164 t-Newp c? A .1 x1.3 j _ Owner's Name and A Registered Architect and/or ' Name and address of licensed contractor 2 + *N t i i. . Location and legal description of lot to be built on: 1.0t 49, Block 6/ subdivision jn.. $ ,, — ..n.rt./ Street and Number where wOrk is to bed � �'. State work to be done and purpose of building (by floors) _ 12/ TJ n� + LL'U a$ y` - t5 Y 1747 And for no other purpose. New BIIilding R emodeling addition L Repaint . No. of St rit* To be constructed of C• Kind of foundation vf .° \ Roof Coveting Estimated Total cost of improvements $_24 4 : 9 0 1 -. 1 Amount of Permit $ Zone cubage Plan Cubage Distance to next nearest building Sin of Building Lot Maximum live load to be borne by each I hereby submit all the plans and specificationt- for said building. be sent to L4* vent ,b � II The undersigned applicant for this building permit does hereby, certify that he understands nd accepts his obligatio an employer of labor under the Florida `Workinen's Compensation Act, being Section 5966, Complied General Laws Of Florida, P pplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors • by him • i the work to be performed under this permit; ,and will post or cause to be posted for on $ite of the work p + c notice or notices as are required by the Act. The un der i gned agrees to employ only such sabeon ! , > . n o / l e perfo , ed der this permit. as are licensed by Miami Shores Village. �� � / J � . Ij Remarks N (Signed) 4I 14 STATE OF FLORIDA, I COUNTY OF DADE. ss. Before me, the t pthority, a notary public, duly authorized appeared o • administer oaths and Jake acknowledgments, personally and who, being by me fust duly sworn, upon oath deposes and says that he is 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 trite. _ Chairman Member Member Council Approved.. e well known, Member Member Member hate' Disapproved Gate 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-' on fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials an or workmanship. r � • J ioms9 OR ID ITre in consideration of the issuance to me by Miami Shores Village, Florida, of a permit (No b„, i ) to construct or repair KNOW ALL MEN BY THESE PRESENTS, that I, a building at or upon the following described property in said Village. Lo r Blv �D do hereby deposit with Miami She Village, Florida, the sum of fty Dollars ($50.00), and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged' by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such construction within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and repairs out of the aforesaid Fifty Dollars, and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, th said Fifty Dollars shall be returned to me. WITNESS MY HAND and Seal at Miami Shores Village, Florida, this I hereby certify that the construction contemplated under Building Permit No '• ` that the builder thereof has caused the surrounding premises to be cleared and repaired • commencing said construction. ▪ WHEN CLEARED AND REPAIRED BY THE VILLAGE Amount of Bond $ 50.00 Cost of clearing and repairs done by Village . . $ Op Balance due Builder $ .'6 INSTRUCTIONS TO BUILDER --When above mentioned construction is completed and the prem =. cleared and repaired '"tea. is bond to the Village Building Inspector and obtain his approval, after which Miami Shores. Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVA V Inge APPROVED: Subdivision has been completed and on as they were before Village. Inspecto • '* i i' •,:l • ..•ittei `° r r•.. • r 0. 1 teM •n .° I •. ..j WI•...•lr ' a . a i `• ° r ' � BUILDING ELECTRICAL - PtF#MBfNG Owner of Building titect Contractor`.e g -or Builder- r • al Lot scription PERMIT N° 3876 Work to be performed under this Permit • dr- OR OR BUILDER," MIAMI SHORES VILLAGE, FLORIDA DATE .!;/.$2., Contractor's License No. BY AUTHORITY 194 — "address of wilding 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 p plication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed"; in compliance !th any plans, drawings, statements or specifications thatmay been submitted to and approved by the proper municipal authorities. This Permit may 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 n which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of ordinances and regulations pertaining to the work covered hereby whether sho on, the - plans oyldsawings or in the statements or- .specific: and employees. L? p a .: he assumes responsibility for work done by his agents, servants or Signed 9.., - -. mss �a B t INSIIECTOR In consideration of the issuance me o *is permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- pertainng thereto an in strict co ormity vWth the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores e= In t rmit=I ass ponssbility for all work done-by either myself, my agent, servant or employee. �_ Zone Req.Cu. . Plat Restriction Checke To Planning Board Re- Submitted to P.B. Plans & Spec.' Checked b To Council Bldg. • Permit loo. Type Alteration 1 teration `fie = ns 37 ' Ro .Inap New Construct4on Plumbing re t, N0 Septic Tank Sewer Mis c l 1 New Const ectr Fixtures Heater Motors New Construction Building inspection Foundation Beams & Linters Final Final Clean• U Plumbing ape 4 tion °° Roughing Fixtures Sewer Septic Tank Solar Heater Final Certificate E eo rice pee Roi,ing Fixtures Final Tem •. O.K. i ery oe O.K. by i _ 7 Approved Rejected Approved Rejected Date Stories 'iterations e Approved Re jee' e Cost _ 1 77/1) Roof epairs Fee n airs Cer .Uesup, /1