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112 NE 98 St (5)MIAMI SHORES VILLAGE 0 / 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 not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address 4'/'(/'7/./ • 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 p Street and Number where work is to be done State work to be done and purpose pf building (by floors) T� C.P�Y4 `"/�'���i�/t �l and for no other purpose. New Building .. Remodeling. Addition Repairs ` No. of Stories l To be constructed of Kind of foundation Roof Covering o-o Estimated Total cost of improvements $ n 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 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 perfpymed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Date Q'� Date. C.I�cic�a 7i1'141)• 19 7 No Street Notary Public, State of Florida 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, and that all facts therein by him stated are true. Permit No. 47,7 _ _./ Date ....l � � 3 Read, Sworn to and Subscribed before me. Disapproved (Signed) W ing Inspector 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. 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 regula- tions 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 wo Owner's Name and Address___ Registered Architect and /or Engineer___ _ Name and address of licensed contractor '• _ – _____ ' Location and legal descr' tion of lot to be built on: _ Subdivision. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved ______________________ Date__ (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Street and Number where work is to be done • State work to be done and purpose of building (by floors) Chairman- -_ --- ______ -- -- ---- ----- --- ---- - - - - - -- – — — – — – — Member Member -- - - -- – – – – Council Approved__ __— ______ - -__ Date z te__ and for no other purpose. New Building — ________ Remodeling Addition Repairs____ No. of Stories_____ —____ To be constructed of — _____________ Kind of foundation fir? Estimated Total cost of improvements $ _� amount 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 Before me, the undersigned authority, a notary public, duly authorized to adminifter appeared _ rte Roof Covering 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 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 } ubcontractors, on work to be performed } tnder this permit, as are licensed by Miami Shores Village. Remarks (Signed) _224 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 ate r jue. �.._ . Permit /■1o. Date___ —_ — _ _ _ Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires PLANNING BOARD Member Member Member Disapproved No.1A -- Street oaths Notary Public, State of Florida DATE and take acknowledgments, personally 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. (over) LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. 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 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 regula- tions of the Building Division of Miami Shores Village shall be compli d with, whether herein specified or not. A copy of approved plans and specifications must be kept t building during progress of the wo Owner's Name and Address____ _ —_ _ =_t C_ Registered Architect and /or Engineer �p Name and address of licensed contractor •+' t ,C Location and legal descri tion of lot to be built on: Lot___ -- /> Block_ /_ Subdivisi Street and Number where work is to be done State work to be done and purpose of building (by floors) Remarks appeared Disapproved (Signed) Date te__ ,,Amount of Permit $ __Plan Cubage Size of Building Lot Building Inspector My Commission Expires 0„14__ Street L,e1, ____and for no other purpose. New Building Remodeling Addition Repairs____ __________________ No. of Stories--___ To be constructed of__________________ Kind of foundation Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building 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 – - -- — – -- — -- - -- Roof Cov 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 r 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 bcontractors, on work to be performed nder this permit, as are licensed by Miami Shores Village. �. (Signed) / z + e s ,e'LL f STATE OF FLORIDA, ss. ,+" F r COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to adtninjl;ter oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that be 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 stn trug. • Permit No _ _ — Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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. (over) LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village.