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MECHANICALBUILDING ELECTRICAL PLUMBING ROOFING /: /6— Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA _ L DATE/ / 1 191 ° PERMIT " ,.try - J Legal Lot Description Bl Address of , {• ` ( , Building i z 1 Y . .4/ 1, N9 5918 CONTtICTOR OR BUILDER BY Work to be performed under this Permi Subdi- vision Value of Project $ ' 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 applica- tion 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 plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. I f hereunder in compliance witlll ordinances cold regulations sd fst tlw, thorities of Miami Shores Village. In as In consideration of the issuance to me of this permit I agree to perform the work covered pertaining: thereto and in strict conformity with the plans, drawings, statements or specifications sub ceptinq this rmit I assume ponstbflfty for all work done by either, m self, my agent sery emp yes. Contractor's License No. Amount of Permit $ i , s i i ��_ r ,. - �r.__._ .k_ INSPECTOR AUTHORITY 11 OT 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 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 eg 4 Registered Architect and/or Engineer Name and address of licensed contractor 0 47k44 Location and legal description of lot to be built on: Lot /�- Block 2 Street and Number where work is to be done 9 g(6 A),4 9 7 6- / State work to be done and - purpose of building (by floors). state exterior colors (submit samples) C?h f)� �� ()U / 09/26 C 0n1U i l I c7» . /^- .ef i.NI • e / ■ L•/AJOCX and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 1b be constructed of ��/Kinnd of foundation � Roof Covering Estimated Total cost of improvements $ . *- �/ • C — Amount of Permit $ /" j ) f 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 Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with compliance from all contractors or sub-contractors employed by him in the work to be performed under his permit; and on the site of the work such public notice or notices as are required by the Act. The undersigned to employ only 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 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 same, and that all facts therein by him stated are true. Permit No. of to? 7 Date ,V/ / / /P Read, Sworn to and Subscribed before me. Date , - Disapproved i (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 $25.00 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 co4f 75 ( or Subdivision M X - S // JOB' ✓� N C' Oir2 27° Data C//4) 1990 No. 99 Street 7 57 employer of Labor under the Florida Workmen's the provisions t - , f, and will require similar will post or cau : be posted for inspection uch s•ontrac • - on work to be performed / -4 C'i «zr ✓ Notary Public. State of Florida to me well known. 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 Law of the State of Florda, all ordinances of Miami Shores Village -'nd all rules and regulations of the Building Division of Miam' Shores Village sh.cll be co•vplied with whether herein specifier', o: not. A cops of approved plans and specifications must be kept at building during progress of the work. Date_ __ NOV e ___21 1 - -_- ., 19__ Owner's Name and Address____ _____ __ Dr. Wm. R, Dolan __ ___ No._ 9 __ _ E._.97_ .b.1 . _ __ _/ Street_N s __ _b Registered Architect and /or Engineer Name and address of licensed contractor A -OK Air Conditioning_ S s evi c e, Coral , Fla ..•__ Location and legal description of lot to be built on: Lot Block. Subdivision Street and Number where work is to be done 990 9.7_th�__._S .r_eQt State work to be done and purpose of building (by floors) Residence Air Conditioning and for no other purpose. New Building Remodeling Addition _ Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 2 56 Estimated Total cost of improvements $ 2562.00 Amount of Permit $ _ 2 *00 1 , ('' 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 A *OK Air Conditioning_ $er._, Inc., 247 Minorca Ave., Coral Gables, _Fla. 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 a contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted fo section on the si e of the • ,such public notice or notices as are required by the Act. The undersigned agrees to employ ::e: .n tors, on to r! .`rj.* his __ 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 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 .__I_ Date 1 — i' _ ( S "G V Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) L MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Notary Public, State of Florida to me well known, Building Inspector My Commission Expires PLANNING BOARD ._ __ DATE Chairman _ -- -- _ _ -- _ _ _ Member Member _ Member Member Member Council Approved Date Disapproved 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.