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795 NE 97 St (10)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building_ Architect ;ontractcr or Builder__ Legal Description Address of Building Lot CONTRACTOR OR MILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 14727 Li Work to be per!orined under this Permit_ BI. This; permit is granted to the contractor or builder named above to consti tict the building or to Install the equipment or device described in the application hercfor 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 s; ecifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time it 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 or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ,{ INSPECTOR In consideration of the issuance to nie 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Signed:_ Subdi- vision Value cf Protect $ DATE 195 Contractor's License No. BY ; 1 cf P:;rmit $ I3Y AUTHORITY • 4 4 1# 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 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 - Cc_ l''-= -G: Registered Architect and/or Engineer Name and address of licensed contractor W61 I d 4e:'f;10 �C)Ca F i PU!, aj fvdA:v1 Location and legal tlescr' tion of lot too be built on: LoteJ,/® 6 Block 2, Subdivisi °� Street and Number where work is to be done 7 P , M o f A STATE OF FLORIDA COUNTY OF DADE. } SS. Disapproved t\ ; ?' I Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT State work to be done and purpose of building (by floors), state exterior colors (submit samples) New Building Remodeling Addition Date r 19 No. / 9 Street ' 97 51 /1 ia0A 436') of n c AP 3e; Lh .1 -1 a 17n,' 5(A- Lit PL U of adLF. F Pc cE 14_ � / TEA) Repairs Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public. State of Florida and for no other purpose. No. of Stories Si To be constructed of Kind of foundation Roof Covering 7 L. Y 1 ) a Estimated Total cost of improvements S 1 a g / �O Amount of Permit $ 1 /4 ° 690 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 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 obligatons as an employer of Labor under the Florida ‘t'orkmen'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 subcontra / tors, orp work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed( 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 for goin application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. e,39 , 34 Date r,r_ e " re Read, Sworn to and Subscribed before me. (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Av • LICENSE No. 18246 FULLY INSURED SERVING OUR NEIGHBORS FOR THREE GENERATIONS. MATHESON ROOFINO CO. 231-0666 ROOFING • PAINTING • HOME IMPROVEMENTS 10872 S.W. 188 Street, Miami, Florida 33157 AUTHORIZATION BY PROXY SHORES GE HALL THOMAS MATHESON CC# 16246 f>� /� ARY PUBLIC STATE OF FLORIDA /Y COHfMISSION EXP. MAY 3, 1992 BONDED THRU GENERAL IRS. UND. AUGUST 22, 1988 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 , 19 Owner's Name and Address. No Street Registered Architect and /or Engineer Name and address of licensed contractor____ 12 n f G A/ �' , 6 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done l' S /• tr 9 % State work to be done and purpose of building (by floors) -1;(c, 1■1% �f . and for no other purpose. New Buildings Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering /1 Estimated Total cost of improvements $ <. Amount of Permit $ > • r-' L 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 ublic 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. t Remarks_ (Signed) 2fa't' -4-. r r � ��'� 4 ✓ -r : 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 !' Date �? ��'� Read, Sworn to and Subscribed before me. Disapproved Date__ c, `•` Notary Public, State of Florida (Signed) Build4ig4nspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: Aarge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plan oard. re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty erials and /or workmanship.