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273 NE 98 StI APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ui Inc plans and specifications herewith submitted for the build • ine 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 i3uilding 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. Registered Architect and /or Enslneer Name and address of licensed contractor 06enoevt Permit No. Disapprove _. 1 ( Signed) `. MIAMI SHORES VILLAGE uilding Inspector BUILDING INSPECTION DEPARTMENT M. ... ttt ............. /6 ___._ �_..._.__......... 19. Ov.ner's Name and Address ...... 2,.... t?L... K . alt4. .._._.._ ..................... StreetL F. 9.&11.-5 loo ci.,t r 7357 N. W. Miami rt. Miami, 3.Lu Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 2 73 N. .9..8t� St�teet _ __ Y tite Jtoo ex.c�,fut .c.n and aeplace waA State work to be done and purpose of building (by floors) .:........ _..._ _....__._.. 1- 30..36. _.(.9L ,...1 .- 90 Z6..._. &Lie *...6culikel e. wzd. -gatle ... (.La.4 ti.ac .,.. and for no dther purpose. New Bui!ding Remodeling Addition Repairs X No. of Stories. — To be constructed of Kind of foundation Roof Covering a . 6 900 20 00 .. ....._..__ • Estimated Total cost of improvements Ie Amount of Permit S. Zone •ubage 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 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 arc 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. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared —.. Date Read, Sworn to and Subscribed before me. Date.. Notary Public, State of Florida My Commission Expires 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, tliat he has carefully read the foregoing a and that he did sign the same, and that all facts thcrcin,by.him,stated are true. DSg. 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 Plannir..t board. A re fee of $1.00 will be charged when such re inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. Permit No Disapproved ( Signed) Owner's Name and Address._ ° ?^)° Dunaway State work to be done and purpose of building (by floors) M AMC SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PPLL0C TO®BBB FI!i l US[ D NG 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. 4 sq. g7'avel tear of on garage— replace 4 —nly gravel Date Dec„ 12th, 1963 No ?73 Registered Architect and /or Engineer Name and address of licensed contractor Lang Roofing Rc Tile Co., Inc., 430 N. W. 79th St., Miami 7 la. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 273 N. E. 9Pth St., Miami. Shores, Fla,, and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering '. ply gravel Estimated Total cost of improvements $ 175 a 00 Amount of Permit $ 5.00 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 o the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ubcontractord n work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) �._ ��__ _.'!_ •_ STATE OF FLORIDA, Joy .h A. Martin, Vice President, 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 a ;e true. Date...../ {/3� ,( Read, Sworn to and Subscribed before me. Date Cal Building Inspector ,19 street)'. E. 98th St., Notary Public, State of Florida 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. BUILDING ❑ ELECTRICAL PLUMBING 11 ROOFING Owner of Building ❑ PERMIT N? 14432 Work to be performed under this Permit Architect Contractor or Builder_ Legal Lot II BI. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA 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 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 responsibility for work done by his agents, servants or employees. Signed: Subdi- vision Value of Project $ BY DATE y 195 Contractor's License No Amt. of Permit $ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations 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. AUTHORITY MIAMI SHORE ILLAGE 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 Registered Architect and /or Engineer APPLICATION FOR BUILDING PERMIT State work to be done and purpose of building (by floors)—_ • BUILDING INSPECTION DEPARTMENT 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 ___/ / • Date uilding Inspector Date No Street 'r 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 $ __2 FL 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 and rsi n .d applic nt.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) > _, ' i 1, 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 Disapproved (Signed) � Read, Sworn ro and Subscribed before me. Notary Public, State of Florida 19 srv— 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.