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253 NE 99 St (2)BUILDING EECTRICAL PLUMBING Owner of Building --- Legal Lot B1. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2197 Work to be performed under this Permit ' - ' -1" Architect Contractor ` or Builder Subdi- vision Value of Project DATE , 194 Contractor's License No. Amt. of 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 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 phe responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the wilrk covered hereunder in compliance with all ordinances and regula- ions pertaining thereto and in strict conformity with the plans, drawings, 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, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Owner's Name and Address Registered Architect and /or Engineer_ —__ Name and address of licensed contractor Disapproved (Signed) _. MIAMI SHORES VILLAGE 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Location and legal description of lot to be built on: Lot____—_____________ —__—_ Block______— Subdivision__,_ . __ __ Street and Number where work is to be done i State work to be do d 'purpose building (by flpors) /'�'� %', tf „ i { ,� .., 1, __and for no other purpose. New Building Remodeling ,l k Addition Repairs No. of Stories To be constructed of __ Kind of foundation Roof Covering _ Estimated Total cost of improvements im $_— __ —__ pr;�;rL __ _— _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 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 iubcontfactors, on work to be performed under this permit, as are licensed by Miami Shores Village. , Remarks (Signed) STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 scat d are true. Permit No Date � �� Read, Sworn to and Subscribed before me. Date BUILDING INSPECTION DEPARTMENT Date_— j l • ». 1- = -4 - -- - - 19 -- – - --t- - Street_ + � ' V ! ---=- >. ° - -r- Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member - _ Member Council Approved —___ —_ _ _ _______Date Disapproved 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. 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 work. Owner's Name and Address Registered Architect and /or Engineer_____ ../ 1 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 doge i aitcrpurpose of building (by ,floors),._______ STATE OF FLORIDA, u. COUNTY OF DADE. Chairman Member Member Council Approved NOTE: A charge of $1 the Planning Board. A re- inspection fee of $1 materials and /or workmanship. APPLICATION FOR BUILDING PERMIT t s Permit No.__. ! _Y___ _________ Date_ ` __ _ __ Disapproved _______________________________ Date -- -- -__ (Signed) – – – — – ------- ----- - - - - -- – — — — — -- Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date %._ o' No.___, Street o' __and for no other purpose. New Building Remodeling X :Addition Repairs No. of Stories________________ To be constructed of — _____________ Kind of foundation Roof Covering Estimated Total cost of improvements 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 b e sent to _ - -- - -____ -- twIrtg/` ' The undersigned applicant for this building p¢ tnit"'does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation .AA t, 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. to Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, appeared Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member _ Member Member __Date Disapproved 19_____ ` personally 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. Date .00 will be made for making corrections or changes to this application after approval has been obtained from .00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty