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133 NE 99 St (6)BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Contractor or Builder "i •• Legal Lot Description Address of Building `; In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this permit I assume responsibility for 8 K f • MIAMI SHORES VILLAGE, FLORIDA DATE 4 f' — / ; 195 Architect PERMIT N° 6261 Owner of Building y = it- a h - B1 Signed CONTRACTOR OR BUILDER BY Work to be performed under this Permit Value of Project $ • Contractor's License No. f Subdi- vision b 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 application 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 owledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specific rtionss" d that he assumes responsibility for work done by his agents, servants or employees. f INSPECTOR = BY• Amount of 2 Permit $ of this permit I agree to perform the work covered her nder in compliance with all or inances and regulations the plans, drawings, statements or specifications submitte to the proper authorities of Miami Shores Village. In ac- all work done by either, myself, my agent, servant or employee. AUTHORITY • cr_Ati Owner's Name • and Address: Registered Architect and /or Engineer Name and address of licensed contractor Street and Number where work 'is to be done 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 or the work. • Location and legal description of lot to be•built on: Lot • `Block - • Subdivision State work to be done an pur ose of biu' ding (by floors) 1 ,4„ 4 ,t 6 11 1 i-11 FAN' Date No �•� Street••1 I 79 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 3.5T-0-;t0 © 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. , A11 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 work to be performed under this permit, as are licensed by Miami Shores Village. )r Q J fl Remarks ( Signed ).14.••• . • eu "�' 1 .SZ • 1957 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) Building 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. 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. Date ., 19 Owner's Name and Address No Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation 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 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 performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building 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 -ins ection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or fatty materials and/or workmanship. 3 NO. STREET PART OF LOT LOT BLOCK SUBDIVISION ROOF COST OP BUILDING PERMIT FEE 0 U . / FRONT DEPTH HEIGHT STORIES TYPE CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OP BUILDING PERMIT FEE 0 U . / Frame, Tile oncrete Stucco. Residence A.ts. Stores Hotel BUILDING .PERMIT Owner of Building ,r y' i f' • F'�' Architect Contractor or Builder i This permit is issued to tlrr 3r .Lo,r^ ?{!' the building above described, as per application, Plans and Specifications heretofore filed in this o i ce. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and gulations of the building department of Miami Shores Village. This permit may be revoked at any time u the violation of any provisions of said l ows, ordinances or rules and regulations, or upon any change in the plans and specifications uilding inspector. .r.-: In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. ,19 PROPOSED LOCATION DESCRIPTION OF BUILDING MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Village, Florida, 19 BUILD! INSPECTOR (SEAL)