MECHANICALBRUM 0
PLUM 0. S 0
RO.O 0
0
Bui
SUMS MAW,
N. 7235
Architect
Contractor
or Builder
Legal Lot
Description S $l. vision
Work to be perforreed under this Pe
Jute
Address of "' Value of i Anioul'�t of
Building Project �I Petiuit $
This permit is granted to contractor or builder wed ab@Ye to construct the building oa to install the equipment or device
tion Mere €or in strict compliance with all ordinances pertaining theret@ and with the understanding that the work will be perf _ _ witty any
plans, drawings, statements or spccUicatioas that may have been .submitted to and approved by the proper municipal autdtorities. revoked
at any time if the work is not dove in compliance with such ordinances or if the plans are changed without authorization. A further con a apon`f hich this
permit is granted is the understanditdg 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 state =,eats or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed.
In consideration of the issuance t'o irre '0 this permif I agree to perform the work covered hereunder in co
pertaining thereto and in strict conformity with the plans, a, statements or specifications submitted to the pro
cepting this permit I assume responsibility for aril w o r k done , eith r, myself, my agent, servant or employee.
•
CONTRACTOR OR BUILD
'. 9.10/0
tracto'
License
RAL
INSPECTOR
ith all ordinances and regulations
orities of Miami Shores Village. In ao
!
AUTHORITY 4•407 °°
0
a
PL 0
ROOFING t 0
! Work to be performed under this Permit
Owner of
Building Alk ISA& AEA. I amt* ,1t a 1` 0 .t 4C*0 e. .
r Architect ,. ,Ailit t LIP
hilt_
Contractor
or
gaged lot II
Description v°
Address of i ST4ue of
Building g to y : , �- fI .I Project III Amp I ii ount
This pertitit h granted to the contractor at' bnfla ar named above to cee&truct the bt&ilding < to install the entsspment er device described' t applica-
tion bere€or in strict compliance with all ordinances pertaining thereto and with the understanding that the wotk will be performed is es Bence 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 er in the _ statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
F {
CONTRACTOR OR BUILDER
N9 7442
Signed;
License .'Nos
AUTHORITY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered berennder• to co zt Ii,= .with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper ,: • , or #ties of Miami Shores Village, to ao
cooing this permit I assume responsibility for all work done by either, myself, to steer* servant or employee:
Applicat.on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing oc other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villag -, F orida, and all provisions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and all rules and
regulations of the Building Division of Miam Shores Village sh 11 be con.plied with whether her in specified cr not. A cope of approv d
plans and specifications must be kept at budding during progress of the work.
/�j Date fTL6 16 , 19(0 .
Owners Name and Address _M . P: R e y.___1 l • (� I �� 1�� N No.. L0_5_6___ Street_NL 98_ 577 ._
Registered Architect and /or Engineer _
Name and address of licensed contractors RS __ QF OCI<- . _ __ 2401._
Location and legal description of lot to be built on:
Lot _ _ Block . __ ___ . _ ___ ... __ _ Subdivision_
Street and Number where work is to be done N
State work to be done and purpose of building (by floors) LM S_i /1 L 4 3 l/ P __ Co/»7 i T e -
.!_A!b---- 1 `Y 57 I . An!b C-T -aloft K
and for no other purpose.
New Building _ ___ ___. ___ . Remodeling . _ . ___ - _____ _ Addition_ Repairs - __ _ No. of Stories
To be constructed of _ _ _ Kind of fo dation _ ___ __ ___ __ ____ Roof Covering
Estimated Total cost of improvements $ ___ _ I . D C-'" ____ _ _ _ _ _ _Amount of Permit $ __ ___ _. 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 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 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 Miai. i Shores Village.
Remarks -- -- - - -- - (Signed)-
STATE OF FLORIDA,
COUNTY OF DADE. j ss '
Before me, the undersigned authority, a notary public:, duly ,cuthorized 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 tpie.
Permit No. _ -_
Disapproved _
( Signed)
Member _ _ _ . .
Council Approved .
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
- Date. _2 ! L '
Date
Building Inspector
PLANNING BOARD
Chairman _. __ __ Member _
Member Member
Member
Dale Disapproved
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires __
_ DATE
__ __ to me well known,
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.
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