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950 NE 96 St (2)BUILDING ❑ ELECTRICAL ❑ PERMIT o PLUMBING ❑ N. 9189 ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building 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 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 responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR 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. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit_ DATE 195 Contractor's License No. BY AUTHORITY r Lot n Bl. Subdi- vision If Sq. Ft Amt. of Permit $ Value of Project $ BUILDING ❑ ELECTRICAL ❑ PERMIT o PLUMBING ❑ N. 9189 ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building 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 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 responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR 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. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit_ DATE 195 Contractor's License No. BY AUTHORITY Owner' Name and Address._. �_ . ___, . - Registered Architect and /or Engineer _ _ ___. . _ -. Name nd address of licen ed contractor Permit No._ _ Disapproved . (Signed) ___ _ Member _ Council Approved _ Date_ Date__ Building Inspector IAM'I SHORES V @LLAGE UILDIN INSPECTION DCPARTMEN APPLICATION FOR BUILDING PERMIT Application is hereby made for the appros al of the det.. iled statemen• of the plans and specifications herewith submitted for the build- ing or o h -: structure her i described This t-t lica!n, is made in compliance and con o•m ty w.th the Building Ordinance of Mia ii Shores Village, 1 or da, and all pro isions of the Laws f the State of 1•1t,rid. all o d nances of MC in Shores Village and all rules and regu'a ions of the Building Div., i of aam Sho. iil.age 1- '1 e -roe cpl.ed with, whether herein specified or not. A copy of approved plans and speeificati .ns must be kei at build ug durin progress of tl.e wcrk. Location and legal description of lot to be built on: Lot. __ Block.. _ _ Subdivision.____ Street and Number where work is to be done. ?- State work to be done and purpose of building (by floors) L - -��' and �7 no other purpose. New Building. _ - Remodeling ._ .___ _ _ Addition.- _ - .- _. Repairs - No. of Stories To be constructed of .__ _ _ Kind of foundation Roof Cov , ring - Estimated " .tal cost of improvements $._ ��� _ Amount c. c Permit $. /,_. !., __ ____ . Zone ^ubage required __. _ .._Plan Cubage Distance to next nearest building Maximum live load to be borne by each floor hereby submit all the plans and specni.•ations for said building All neticcs with reference to the building and its construction may be sent to The undo signed appli ant for ths budding pc -mit does hereby certifs. i'i -ut he underaards and accepts h;s - •bligations as an cn,t•to.rr of 1 bor under he Florida Workmen's Compensation Act bc'ng S. -Con -'ai:i Col n led Cru al Laws of Florida P r an. -n S ,i1 ..ent, and h s compl ed w'th he prov' -cons thereof, and will require s uuiar cot i . ran e fru:n a:1 contractors or seb contractor, cmrIe cu b% 1..1 1 in the wo k to be p rf med under th s pern it and ill post or can. to ':c n kr inspection on the site of the .work .n -ic pnt>lic not e or otites as are requir d by the Act. The u 1 . r ign d agrees to employ only sr . h ibcon ctors, on work to be perfn, -n. d der this permit as are license:? ' ly M am. Shores ‘ it ge. . Remarks ( S'g led) - /(-,- , //..L., STATE OF FLORIDA, g COUNTY OF DADE. ) ss. Before me, the undersigned authority, a notary public, duly authorized to adn•.nister oaths ,.nd take acknowledgments, pc onall: ‘p neared to me well known, and who, being by me first d lv sworn, upon oath depoees and says that be is the of th aboc de t ibed ,struction t. 1 has careially read the foregoing application, and that he did sign the same, and a' cis therein by him stated are tt le. Date _Size of Building Lot _ No Street_ J A Bead, Sworn to and Subscribed before me. Notary Public State of Florida My Cnm:ni::•-ion Exp;res , 19 .. PLANNING BOARD _DATE Chairman _ Member _ _ - Member Member Me- be Date Di,,i;. , r. ,. 'u Date NOTE: A charge of $1.00 will be made for making corrections - • 1 .:nges to this application ft r ri pain ill 1. s 1 .11 ',t.' ..ed from the Plane ng Board A re-inspection fee of $1.00 will be charged when such re- inspection is nit ncces art, l•.• improper notice ft r insp 1' i 01 f t. ty materials and /or workmanship. 4•■■■.-4• • 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 Sere : nd Number where work is to be done Sta MIAMI SHORES VILLAGE be d. e and purpo of building (by rs) i ri I 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 ordina , _ of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, w' they '-rein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. it and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 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 Sup dm eent, and has complied with the provisions thereof, and will require similar compliance from : i 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 .ection on the site of the work such public otice or notices as are required by the Act. The undersigned agrees to employ only such •''.ntractors, fyp work to be performed u this permit, as are licensed by Miami Shores Village. �"'4' �� ��J (l' ® Remarks (Signed) : / `- o "..' ' /'�",�x"' 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._._...d - Disapproved (Signed) Building In sector Date Date 0 wC " o ¥a N. 7q Subdivision :f o 1.. 94:s 19 .. No C Street 6 Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.