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ROOFINGApplication 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 Registered Architect and /or Engineer { 8 t-- / Name and address of licensed contractor 1 L° A 1*-Qn Q F/U� P C � CN - IQ/1G Ci'' zJG Location and legal description of lot to be built on: Lot /4 Block /f Subdivision � LA � �,S // 311.' j I f 13Q Street and Number where work is to be done /0 6-8 5'153,S-74 ^y� ,G� State work to be done and purpo e of bu' ding (by floors), state exterior colors (submit samples) / t €W l / /fly O S //4"7 dT P G' and for no other purpose. New Building Remodeling Addition Repairs No. of Stories / —_ T of o be constructed of J' Kind of foundation /� Roof Covering / / I1� /y' Estimated Total cost of improvements S /— - Amount of Permit S 9O /r j V / 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 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) i ' ' ` :�4/ STATE OF FLORIDA COUNTY OF DADE. Before me. the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally 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 foregoing application. and that he did sign the same. and that all facts therein by him stated are true. Permit No. Disapproved (Signed) J ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT l°/9 TrVir b/ ft Ay Date t Read, Sworn to and Subscribed before me. Date No. Date 444l 19 v r SStreetN/6 gerY 134.Zti & Pries -, N,rn 33/,f Notary Public. State of Florida wilding Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved late Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode 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 o.f 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 budding during progress of the work. � Date.. _1.'._2. 19..2 7 Owner's Name and Address .... ... No/ 0 S Sa...__. Street._ 9 S 7 R egistered Architect and /or Engineer ,,;,, ,,,,, ,;,,,;,,,,,,, -TIT ,,,,,,,,,,_ Name and address of licensed contr tctorl . . L c.. CF/.' . �?v� r.? . V e' :.5:1/ I..�'L/f L.E. 6. !� � � 9 Locatiorf and legal description of lot to bi }wi)t Qn: — 33% jZ Z ck Lot c Block l/ Subdivision .. Street and Number where work is to be done. , l. O S II e - 2'.8.._J/ - State work to be done and purpose of buildin (by po ). f4 �� CL v e.,�'_,',-- (!0 C, (,0 14/:. ^JET r 1-- /97 �` . P c-8 c.. . - -.. , iu o / ''.es ,r�1ii f c -�'4i !- v % - ff1 /!,: (ci G«H vP 3 Z- and for no other purpose. New Building Remodeling Addition Repairs l ' -Zed —No. of Stories To be constructed of Kind of foun ti n Roof Covering .800 R.E.IL Estimated Total cost of improvements $.. .9.2 0 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 tans and specifications for said building. All notices with reference to the building and its construction may t�L.AG. /..L..._ O.D.C-IN -�C_.. .'f t: N W• a rl�:R -ru M. �Q J,' , �� 331x L ....... 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 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 su tractors, on k to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) 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 s arir7 Permit No.._..__ Date lead, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Buildin spector Commission Expires to me well known, PLANNING t •ARD 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 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. 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 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 n9t. A copy of approved plans and specifications must be kept at building during progress of the work. • Owner's Name and Address i rs . ".Irt•rin r'vernc•am MIAMI SHORES VILLAGE Date Registered Architect and /or Engineer Name and address of licensed contractor 'Roof in7 ".Heet :: tal - 7 Street Location and legal description of lot to be built on: L Block Subdivision eet and Number where work is to be done 0_8 E. �' . n� ' (11 "te t tate work to be done and purpose of building (by floors) Estimated Total cost of improvements $.320 , 00 3eroof7_ntr'i orch 7S No10K8 'T• Sgeth street Notary Public, State of Florida 19 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering- -nl_y '- uilt. u°- 'ravel Amount of Permit $- ._ x• 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 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 a nployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent lenient, in the work to e performed has complied with d provisions thereof, and will require similar compliance from all contractors or sub - contractors empl ,. by him or notiesasarreui required by the Act h permit; and l s cause to y for The hundersigedagrr agrees to employ only s nt ac�� s, on ° 1 to be .er the for/:: nder otice permit, as are licensed by Miami Shores Village. Remarks ��� (Srgne../� -- � -- -� STATE OF FLORIDA, COUNTY OF DADE. j 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, and that all facts therein by him stated are true. Permit No 9_CC. 1 Date 1 <'` (- \-- (e C t Read, Sworn to and Subscribed before me. Disapproved Date (Signed) LL. ► ,{�- Building Inspector VC% — 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. BUILDING 0 It ELECTRICAL 0 t a F" PL ROOFING Address of Building 0 Architect Contractor or Builder Legcd. Lot Description CONTRACTOR OR BUILDER mons vs ac Work to be performed under this Perm Bt. 10 ¶ cr Value of Amount of 3 Project $ 1 I SO Permit 174 dia This permit is granted to the center or buildir,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: In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all dinances galations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • BY 5897 MUM t DATE !J J c' 14 19 C s ka° License No. Subdi- vision NSPECTOR AUTHORITY A.eot 419003