Loading...
1296 NE 99 St (2)BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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._.....14r. _Ralph. Swanson Regittered Architect and/or Engineer MIAMI SHORES VILLAGE Name and address of licensed contractor. NYSTRAND LLOYD CORP. Location and legal description of lot to be built on: Lot. Block Subdivision Street and Number where work is to be done 1296 99 _ street. State work to be done and purpose of building (by floors)._ RESIDENCE– — Gap 17301 f elt, Mop__ 2 felts, Top. with asphalt New Building aVal tento ling Addition To be constructed of Kind of foundation. Estimated Total cost of improvements $.-195 ,(X) Amount Zone cubage required _Plan Cubage_ Permit No Disapprove ( Signed) Building In ector 2.40.,6,11 Date Septelnber 1, 2968 , 19 No 1296 Street N .E . 99 Street flat 1c fara.gp — Tear off. and for no other purpose. Repairs.r.e..nr.Q.C)fillgNo of Stories 1 Roof Covering_ 4 0-1.-4.-4.-a of Permit $. 5 .00 178 S.W. 17 Avenue, Miami 33135 Distance to next nearest building_ Maximum live load to be borne by each floor... I hereby submit all the plans and specifications fot said building. All notices with reference to the building and its construction may be sent to ____NYSTRAND.--LLOYD---CORP----- - .178 S.W. 17--Aven Miami - 331 The undersigned applicant for this building permit dot 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 suc ontractors, on work to be pe • ed under this permit, as are licensed by Miami Shores Village. Remarks__ (Sig .Size of Building Lot STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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. e>44 Date_ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires. personally ap- PLANNING BOARD_ DATE Chalhnan 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 hecn 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 ❑ MIAMI SHORES VILLAGE, FLORIDA Date ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 10457 Contractor's ROOFING ❑ License No. Owner of Building /1 0 CONTRACTOR or BUILDER Architect Contractor or Builder N7 ,1 .A 1 c tj LA* COX f3 ONs r.al+ Legal Lot 11 Description 11 BI Address of ter. Building r,eg. Al. 4:- 1.7 Work to be performed under this 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 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, serva a nts of emplo ;ees. � Signed• ./'°'" ' (I1\SPECTOR) BY In consideration of the issuance to me of this permit I a ree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drag ngs, 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, tpy agent, servant or employee. BY 441'3 o AUTHORITY 19 12 4 - ( tr, r>f° ' s , r L o. Subdi- vision Sq. Ft. Value of �Q Amount of Project $ / lr Permit $ S• 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 1 STATE OF FLORIDA, COUNTY OF DADE. j ss. Permit No Disapproved Date ( Signed) 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 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. Block Street and Number where work is to be done t. ate 1 �A No._1 -c_� [l�_ Street__ Subdivision______ __ A?Z %It State work to be done and purpose of building (by floors) and for no other purpose. New Building To be constructed of Kind of f a�iob Roof Covering Estimated Total cost of improvements $_ ______ _ ___ Amount of Permit $ 0 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 subcontr ctors, on ork to be performed under this permit, as are licensed by Miami Shores Village. / � J Remarks (Signed)_ Remodeling Addition Repairs No. of Stories_ 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. 1 __ _ Date Read, Sworn to and Subscribed before me. 4tp Building Inspector My Commission Expires 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.