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938 NE 96 St (6)STATE OF FLORIDA, COUNTY OF DADE. ss APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. Owners Name and Address a '`9 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date..._....... � /�...__ _.._� ...._..._._ .. .,19..', — No. .. Street--/ .. ,. • Registered Architect and /or Engineer — VI •n.••trn .• rx.. . rasn-•r Name and address of licensed contactor _.._ Location and legal description of lot to be built on: Lot t .> f Block r ` Subdivision r � ` � `� .; r . . Street and Number where work is to be done r -"`/ ./ 6 State work to be done and purpose of building (by floors) rte and for no other purpose. New Building Remodeling ! Addition Repairs No. of Stories To be constructed of — ` Kind of foundation Roof Covering — - /.f . — 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. 411 notices with ;efere a to,thp and its construction may - be sent to '? / �: _ � I /.: - - 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 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 pennit, as are licensed by Miami Shores Village. .-/' • , - . „ l ( Remarks (Signed).. ... ° . 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 stalecj. are trues M 7. `Mead, Sworn to and Subscribed before me. a Disapproved r ._ ate. " t r \ Notary Public, State of Florida (Signed) �� ! � ; / \ Building nspector °'4,.. -- . My Commission Expires PLANNING BOARD DATE Chairman 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 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 or we plans and specifications herewith submitted for in or other structure herein described. This application is made in compliance and conformity with the Building Ordinance Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of 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 Location and legal description of lot to be built on: Lot Block Subdivision C i 3 -- r r ei( `i cYte..2 Street and Number where work is to be done State work to be done and purpose of building (by floors) STATE OF FLOPIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a peared Penrut No xLIQ1L5 Date IC )iq r `) ••• vf. No. .%42' ...... ..... Street ill. C d. PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Read, Sworn to and Subscribed before me. Disapproved „. Date Notary Public, State of Florida (Signed) \ . ui mg nspcctor My Commission Expires the build of Miami rules and approved • • • ............. ............ • • and for no other purpose. New Building Remodeling Addition Repair; No. of Stories To be constructed of Xind4if foundation Roof Goyeting Estimated Total cost of improvements $ Amount of Permit Si- b'' t)0 Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot ............. • • • ^ • • • ..... NIaxiinum live load to be borne by each floor I hereby submit all the plans nnd specifications for said building. All notices with reference to the building and its construction may be sent to. The utulersicned 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, anti has complied ss ith 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work t be performed under this perinit, as are licensed by Miami Shores Village. Remarks (Signed) d ? ., t 9 notary public, duly authorized to administer oaths and take acknowledgments, personally ap- , 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. Date NOTE: A ch.irge of $1.00 will be made for making corrections or changes to this application niter approval the Plarmit.g 11u.ird. A rc-mspettion 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. has been obtained from STATE OF FLORIDA) SS COUNTY OF Dm's ) A F F I D A V I T J _ 4 J , of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, Both depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amend- ing paragraph (d) of Section B -368 of Ordinance No. 97_,of the Building Code of Miami Shores Village, he desires to build a C-rt aca _ on Lot _ 4 Block 94 of .06 AL '3 Subdivision, that he is the owner of said property, and will be tiie owner of said that he will do the work personally, and that he will, at such tires as are required by the Zoning and Building Director: - 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit, 3. Pay the required fees. 4. Execute tae wor k in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Liiarni Shores Village for any part or portion of the work. 9. Yet set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of tae requirements of the Building, :lectrical, Plumbing and 'honing Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner- builder as herein provided, is limited to but one owner- builder permit each 2 years, and where an owner- builder has once exercised the privilege herein conferred no second application for owner- builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensee General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: SUBSCRIBED AND S`.+Ofl TO B&()U ; ME this 19 . OWNER day of A. ,L--- A. D., NOTARY PUBLIC £ r i s q,; c • 1!) 1452 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewit 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.. :2/ . . 19.7 3 Sd T � - 1i1 Owner's Name and Address 2 L� No..l... �....._ . Stre�K `'.. �>�� . : r Registered Architect and /or Engineer ,,.••. .._•S.,,:, - -•V« ...•.- ,.a --. Name and address of licensed contactor C Vt- rn.- Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ! •? A` cr _ L �' - S r - - - ----- — — State work to be done and purpose of budding (by floors) 'k' � `�" '`- De .:4/ and for no other purpose. New Building Remodeling C--"` Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ C t 0 A of Permit $. ` e 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 crrtify that he understands and accepts his obligations :IS an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied wi th the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed xrnder this permit; and will post or cause to be posted for inspection on the site of the work such ubl'c notice or notices as are required by the Act. The undersigned agrees to employ only such subcon o , on work to be performed der der this permit, as are licensed by Miami Shores Village. f - - Vii. � 2 6/1/1e/ 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 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, sand that all facts therein by him stated are true. Permit No..______. -../ r Date ` Read, Sworn to and Subscribed before me. Disapproved , Date. (Signed) Building Inspector / My Commission Expires Notary Public, State of Florida PLANNJtNG BOARD _.._......DATE Chairman 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 nfter 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. A , E LS't (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 - .,2'.i.../t___ , 19_r Owner's Name and Address._. f< .,e'leo -e -._ _ _ ___ ____ - _____________ - _- No /" = c ___ Street...?/(.. --. ___ . __ - Registered Architect and /or Engineer... _ - . s l /'6 -° - __ /'X , % !!; -` -- Name and address of licensed contractor_ _lel G -�" _, - - " i ,,� a 1 % °- -/ .e ' _' i s %/ ; ; Location and legal description of lot to be built on: Subdivision a'ooC�d e - �r k "- �.o . Lot - ----- - - - -�. = Block - - -- .. � � -. Street and Number where work is to be done .__c ,/ (' 2� " o State work to be done and purpose of building (by floors). Permit No e c : Date / Di sapproved ,___, Date__, - .._ ., - -- - - -- and for no other purpose. New Building_____ __ Remodeling Addition ° Repairs No. of Stories To be constructed of Kind of foundation___ Roof Covering_ 0 Sr Estimated Total cost of improvements $ , r � ' • 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___ d `' - !/, I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may ,l be sent to -- ; , �% The undersigned applicant for this building permit dot 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, Pennanent Supplement, and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub- contractors emp yed by him in the work to be performed under this permit; and will post or cause to be posted for insp: tion on the site of tae w k such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon a• ors, on work to be, rfo}nytd under this permit, as are licensed by Miami Shores Village. Remarks _ __ _. _ __ (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires to me well known, PLANNING BOARD __ . DATE Chairman 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 from the Planning Board. A re- inspection 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.