Loading...
ROOFINGBUILDING ELECTRICAL PLUMBING ROOFING Owner of - �e Building " ,! MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N° 14891 Work to be performed under this permit_ CONTRACTOR OR BUILDER Architect Contractor or Builder i r I Legal Lot BI Description Address of n� Value of Amt. of Building ' / y j f�^ ° er r / / Project $ t ;r 4 Permi $ s. e w f . 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 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 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 or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Subdi- vision BY DATE Contractor's License No. 195 ,.... A. ,,,,,e Signed • .••" Al r � x .: - c. BNIY ; 4 4td INSPECTO , 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN' APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the det,iled statemem of the plans and specifications herewith submitted for the build- ing or o h, -ructure her i described This i is made in compliance and con•o•m•ty w.th the Building Ordinance of Mia u Shores Vi11ave, or da, and all pro. isions of the Laws cf the State of F h.rid. all o d nances of Mi .m Shores Village and all rules and regu a Lon. of the Building Div.. L of Jam Sho, iilage 1- 1 1 ,e , o. ipl.ed with, whether herein specified or not. A copy of approved plans and specificati n must be key at building durin progress of the wcrk. Owner' Name and Address - -- - –�G � Registered Architect and /or Engineer.._ Name nd address of licensed contractor. Location and legal description of lot to be built on: Lot Chairman Member Member Council Approved Block Subdivis'on Street and Number where work is to be done_ 27 — State wg1c to be done and purpoe of buildin (,b floors ) New Building_ . _ . _ Remodeling_ To be constructed of _ _ Kind of foundation 1 a. Addition____ ____ ___ _____ __ _ Repairs_ _ - No. of Stories CA' Roof Covering_ • Estimated '1 :,tal cost of improvements $__. . ____. _ Amount of Permit $__ Zone -ubage required_ __. __Plan Cubage__ Distance to next nearest building__ _ _ _ _ __Size of Building Lot Maximum live load to be borne by each floor_ _ • ..... hereby submit all the plans and specifications for said building. All notices with reference to the budding and its construction may be seat to The unde signed appli ant for th's building permit does hereby certify that he understands and accepts his ,•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act be'ng S• -tion 5966 Cot p led Gen al Laws of Florida P r anon. S'ipplc cent. and h s compl ed w;th he prov':oons thereof, and will require s•milar comp lance from all contractors or sub-contractors cmplo .ed by him in the wo k to be p ri med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public note e or .oth.es as are requir d by the Act. The u. d.r fgn.cd agrees to employ only such abcontr. etors, on work to be perform d der this permit as are licensed by M am. Shores \ i1:: ge. /. 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 _ N o t a r y Public State of Florida (Signed) Building Inspector My Com:nission Expires_ PLANNING BOARD _DATE Member . _. Member Member .Date Disapproved and for no other purpose. to me well known, and who, being by me first d. ly sworn, upon oath depo"es and says that he is the of th abov de .c. ibed . Istruction t..; h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him are tr fe. Z La . �/_ _ . -. Date_ Permit No _.__ _ _ _ �__ _� `�� -Read, Sworn to and Subscribed before me. t Disapproved Date_ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application tft,•r approval his been obtained from the P1anr ng Board. A re- inspection fee of $1.00 will be charged when such re- inspection is mud necessary by improper notice for inspe :•t'on or fa. ity materials and /or workmanship. 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. Owner's Name and Address._ d' Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by New Building Remodeling. To be constructed of Kind o permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. j Disapproved (Signed) P ` MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT floors) and who, being by me first duly sworn, upon oath deposes and of the above described construction, that he has carefully read t therein by him jtated axe true. Permit No 9' ? ? Date Date Building Inspec BUILDING INSPECTION DEPARTMENT , • Subdivision 3' 7 Chairman Member Member Council Approved Date Date ,,� ✓ , 19 ✓� , No c.( 7 9., Street_f% Y 1 and for no other purpose. Addition Remarks (Signed) oundation RQof 9overing 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 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 inspe tion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such actors, on work to be performed under this Repairs No. of Stories Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, - is the. ing application, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. Notary Public, State of Florida My ComLssion Expires ANNING BOARD DATE Member Member Member 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. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement us sne 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, Florid.t. 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 Registered Architect and /or Engineer..... .,. ,,, .,.,,,,,.,,.,•. Name and address of licensed contractor - Y?.6 _ 71 !1.6 ` ° (% t. _... - ).,-("3 - k ` 0 't -9-•l Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done L ill.. ... .7 -. • - ••- .� - - .� —.. State work to done and / purpose of b 11/12,444 ui ing (by floo)... elts_/.4,.... y �c _ i 2c?........✓ect :s... / el 774 Cr^ . ed.... Wit l - 1° 4 S/ .. 1N4..... W./.1.. .15Sp 2. �J .1z1 LL . � 14 fl1 . .. A - t� : __ and for no other purpose. STATE OF FLORIDA, 1 COUNTY OF DADE. j ss. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT pp Date... - �...0d. _ 19 t. /fS , .p u /'-� - No...r2 `1._.. Street. c� Building Inspector peared t tJ .— 3 . 7e f New Building Remodeling Addition Repairs No. of Stories _ To be constructed of }nd of foundation Roof Covering Estimated Total cost of improvements $ 5 4 jU 00 Amount of Permit s.. 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 for said building. All notices with reference to the bu i ld ing and its construction may be sent to. The undersigned applicant for this building perinit 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- enntractors 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 wor such public noti or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on wor donned under permit, as are licensed by Miami Shores Village. Remarks (Signe Before e, the undersigned uthority, a antsy pub 'c, duly authorized a dmini ter oaths and take acknowledgments. personally ap- to a 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 fads therein by him stated are true.. Permit No i tf. Date...l. d, Sworn to and Subscri bedia fore m `- Notary Publicly Ma eC ' EXPIRES NOV 4 1985 My Commission Expiret,OLtDED.. GENERAL INS N UNDERWLtITERS PLANNING BOARD DATE Citair:nan 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 fmtn the Plannir:;; Board. A rc Inspe•ction 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.