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DRIVEWAYMIAMI 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 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 / D No. / C Street if/ 98 S 7_ - Registered Architect anchor Engineer Name and address of licensed contractor ----S4A1 City QC4;0 •Q -'LS -i —G • 73. C -s t.) • Y; /1---, `.) /4 «/",' ‘, •-/' Location and legal description of lot to be built on: %/ — 3 A ° 'S- ° 3 a -- 4.-1 O 4.-1 5 O G Lot L Block Subdivision X t . 1 e / Y i< • / Y.3 /V• ' 98 sr f Street and Number where work is to be done State work to be done and purpose of building (by floors). state exterior colors (submit samples) //� �}' /r—d G�t�G -cam 'd / �C s.7G --y (, J / lt )9p c o& c, ( vim' -i yh G C d /lc •/' eg and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roo Covering l ' • Estimated Total cost of improvements 5 ` � � Amount of Permit S Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 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 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 permit, as are licensed by Miami Shores Village. Remarks (Signed) �" 7.27 STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personal] appeared 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 foregoin: application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. Date Date Disapproved Building Inspector (Signed) Chairman Member Member Member Member Member Council Approved Date Disapproved NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtain:.: frog: the I'(er:ning Board. A re- inspection fee of S25.00 will be charged when such re-inspection is made necessary by improper notice for inspection or and or workmanship oi PLANNING BOARD DATE - (0050 Read. Sworn to and S '.scri. before / /., My Commission Expires Date // 19 7o Notary Public. Stag ,•t Florida NOTARY PUBLIC STATE OF FLORIDA ■Y COINISSIOLEXP,_ROY 21,1990 BONDED TNRU GENERAL INS. UNO. • r\ ild90 Date 3.50' r4 q ' o' 6o.oto IA, 42 17.7x' N 1, \ L . c. a, s. 2Es 0 No \O 43 . v ALLEY. 23,60' Porch . V \ / -°' 's•o8 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 ing 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 specifie not. A copy of plans and specifications must be kept at building during progress of the work. D 19 Owner's Name and Address / `D 3 Z'No / u Street 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 floors)____ STATE OF FLORIDA, COUNTY OF DADE. ss. Chairman Member f / Member Council Approved Date Subdivision 9 the build - of Miami rules and approved and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fatipp 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 pennit 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 wprk -tQ be perform under this permit as are licensed by Miami Shores Village. _ Remarks (Signed) ing Inspec j9r PANNING BOARD DATE 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-t1ie foregoing application, and that he did sign the same, and that all facts therein by him state are true. Permit No 2 L ___ Date Disapproved (" Date_. (Signed) _. __lN Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. " 620-CK_ MIAMI SHORES VILLAGE, F BUILDING IN ELE PLUMBING ❑ PERMIT N ROOFING Own �� Building of � � /(). 4111..4.0 Architect Contractor or Builder Legal Description Address of Building Lot /(5i "?' 9.F� This permit is granted to the contractor or builder named above to tion herefor in strict compliance with all ordinances pertaining thereto and plans, drawings, statements or specifications that may have been submitted at any time if the work is not done in compliance with such ordinances or if permit is granted is the understanding that the contractor or builder named regulations pertaining to the work covered hereby whether shown on the pl sibility for work done by his agents, servants or employees. t . CONTRACTOR OR BUILDER 484 Work to be performed under this P er Signed: Subdi- vision Value of .Amount of eV Project $ II Permit $ truct the building or to install the equipment or device docritnailin Alf .piiea- the understanding that the work will be performed is compirannie . r >, °r any o and approved by the proper manickpai authorities. This Permit tomr ha remind the plans are changed without authorization. A further condithm 4pati4lktah This above assumes the responsibility for a thorough knowledge or rbti : etaVEnCeS t! or dra'; ings or the sta or specifications and.sbat;lie assumes myosin , : r iiii : / /.L.. ..a BY: NSPECTOR BY ORIDA DATE. 7 - /+ comrade 7_ License No. AUTHORITY In conside pertaining theretp a rj In ormit y� with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ae• cepting this petit Mass 1 T all ork dons by either, myself, my agent, servant or employee. i nonce to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations t *SOOT PRINT MIAMI SHORES VILLAGE, FLORIDA VATS BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ PERMIT N. 294 ROOFING — Pt1 v a .a? t• ❑ Owner of Building C L 4 r - s Architect Contractor 4111, or Builder a - -" s J s 0--r 1 7* Legal Lot Description I I 131. - ! Address of Building 10 d. IS Work to be performed under this Permit_ 4 J" lt3 Subdi- vision Value of � « Amount of Project $ II Permit 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 appliea- 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 music'; = <i aaithoritses. This Permit =: "' %i' he. revoked ' at any time if the work is not done in compliance with such ordinances or if the plans are changed without avth =. 4 further condition upon which this permit is granted is the understanding that the contractor or builder named above assume the responsibility f•.; a th= ough knowledge of the oeditrances and regulations pertaining to the work covered hereby whether shown on the pia or dra s or in th eraent or specifications and that he assumes respone sibility for work done by his agents, servants or employees. / Signed re, BY BY Contractor's License No. T 1/41 C INSPECTOR In consideration of the issuance to me of thin permit I agree to perform the work •v= reunder in compliance with all ordinances and regulations pertaining thereto and in strict c .. ity with the Asp, drawings, stgtefents or specifi • tf <t., eu` ed to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume ns'•lily for all work done by either, myself, my age employee. r r AUTHORITY a A•9OT PRINT