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180 NE 99 St (15)be sent to 1 , 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. r Date.. . _ __...__. __....». ,19.._._ Owner's Name and Address ..... e. e.- 0`` /l GG A 1 z..1? ki a' IA 7 g _ No 17.Q...__. Street...f/.6_ ?_5 5 -74 Registered Architect and /or Engineer CI - - -. , .•. • _: ”..St.TI.... Name and address of licensed contractor c2.(42 K e ...... yt. fcl Location and legal description of lot to be built on Lot Block Subdivision.... Street and Number where work is to be done A S /4 r d i/ - State work to be done and purpose of building (by floors) . [ ! i f.: < ( .._... p4 R r f 6 1 4 . 5 5 a, , ,a. A .._.._.. Lrz ti e, it. .... p/e 4-e ck 120 X/VI/(/G " o u) K e ►�- A and for no other purpose. New Building Remodeling 1 ` Addition Repairs No. of Stories Roof Covering To be constructed of (Uoo c Kind of foundation Estimated Total cost of improvements $ „ 00 1 Amount of Permit S. Zone cubage required pus W eCUI e u c. Z - i - - -- - pl an Cubage Distance to next newest 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 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 rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performe 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 per ormed under this pennit, as are licensed by Miami Shores Village. Remarks __. —.__ (Signed). ..._..._.._. Building Inspector Nese aw4 l� D:' tA)4t`+ow. e C,Q LL STATE OF FLORIDA, COUNTY OF DADE. j ss Bcfore 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 d scribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him t¢ted are true. Permit No ..__ W Date 2' (el �,� -_ Read, Sworn to and Subscribed before me. Disapproved ate ( Signed) x Chairman Member Member ...... _.....- -.._._..__._. - -_ -- PLANNING OARD DATE Notary Public, State of Florida My Commission Expires Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning hoard. A re inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date ad ( , lg 4 Owner's Name and Address.. -t-4---=' No Street Registered Architect and /or Engineer J Name and address of licensed contractor Q 9 V f= A w 0 / c! Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done d- State work to be done and purpose of building (by floors) r, 970 w 7 ` and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fo dation Roof Covering Estimated Total cost of improvements .$' ? 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 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 Miami Shores Village. A? Remarks (Signed) % � � ‘A.4 o 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 r >- Date / Notary Public, State of Florida (Signed) / - i 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. NUMBER ITEMS AMOUNT r'/ .7 / e r 7 . Buyer uyer also agrees to pay, or reimburse seller for any tax which may be imposed. Total ,I�1 S.r' y � 2241 S.E. 6th Ave (Fed. Hwy) 't. Lauderdale, FIor;1da Sold To A ' 3 4 P' 4, j i✓ f) ) ( PRINT - -I CySipM Street Address r f ' City Deliver or Put Up At Terms Style Goods Binding Credit Reference 1 � e J ti THE HOOVER AWNING & MFG. CO Salesman (! 'S .FULL NAME) 11 • Date. 195 II . c ? ' '- L. 5'2,4 »-K Delivery Date About Deposit Recd by Salesman Style Curtain Fringe lS 6921 N.W. 7th Avenue Miami 50, Florida THIS ORDER SUBJECT TO APPROVAL OFIOFFI Accepted By JOB No. DATE PATTERN VALANCE SCOLLOP BRAID FRINGE 17: .,�.� It is expressly understood this contract, made in duplicate contains all agreements pertaining to property and terms herein specified, there being no verbal understanding whatsoever. - - All items herein are contingent upon and subject to strikes, accidents or other causes beyond seller's control. - - As a consideration hereto, the undersigned purchaser hereby represents that he is the recor. own- er of the premises upon which this merchandise is to be installed. BUILDING ELECTRICAL PLUMBING ROOFING , .l- 1 Owner of Building S- , • - Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA p /o 11( El DATF' PERMIT N° 4440 Contractor's License No. 11 r '% / Work to be performed under this Permit Bl Value of Project $ l) t Subdi- vision �. r Amount of Permit $ r 4'4 1 ..� c � 1956 This permit is granted to the contractor or builder named above to construc 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 k of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the state or specificalionjand that he assumes responsibility for work done by his agents, servants or employees. -1 j % �/' Signed. Lc INSPECTOR * —.. _.. -BY - r \� In consideration of the issuance to me of this permit I agree to perform the work covered he der in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submit d to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR ORWBUILDER BY AUTHORITY 6 40,4'