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WINDOW PERMITMIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATR 4 4 195_.? PLUMBING ❑ PERMIT N? 8927 Contractors y , License No ROOFING - ❑ i `S'- f_ '"" — Work to be performed under this Permit Owner of Building T c - 4._ Architect Contractor or Builder Legal Description Address of Building Lot 2 5 H CONTRACTOR OR BUILDER C C) *1 5 Bl. 7 Subdi- vision Sq. Ft Value of Project $ (9 • j _ ;/ 1 Amt. of Permit $ BY AUTHORITY /(t 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 Ppirmit 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 fox a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or i the statement or specificatitihs and that he as umes responsibility for work done by his agents, servants or employees. / 1tJ' l (` ■ , ..A...; : , Signed . INSPECTOR" In consideration of the issuance to me of this permit I agree to perform the work covered hereund in compliance with all ordinances an .regulations pertaining thereto and in strict confor with the plans, drawings, statements or specifications submitte to the proper authorities of Miami In accepting this porinit assume re phility for all work done by either, myself, my agent, servan r employee. ` ? o • c / Shores' Village. 17 Registered Architect and /or Engineer Chairman Member Member Council Approved 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 —'Z is Owner's Name and Address S No Street Name and address of licensed contractor r7 L c' (oe Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done !___ /t) ,p y floors) l ,1 /)'I d 111 State work lo be don and purpose of building ( 7 - ,.// % e >I3 (..11 /// AL i ef)/ New Building Remodeling Addition Repairs No. of Stories To be constructed of ./7 i-) Kind of foundation ,00f Covering Estimated Total cost of improvements $ 3 0 7. Amount of Permit $ ' c 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 a plans and specifications f�said building. All notices with reference to the building and its construction may be sent to 1° oc) �3 " 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, 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. Remarks (Signed) �. ,,,,,,,t,„,-- be made for making Date 5 Date__ . rte Buil ing Inspector PL f �� ING BOARD DATE ,6 4i€ 3 1-4/v /r Pf' 71.6 /e. . c: udf and for no other purpose. 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 fo g i g application, and that he did sign the same, and that all facts therein by him s ed are true. Permit No ! 2 7 Date Disapproved (Signed) ead, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date corrections or changes to this application after approval has been obtained from NOTE: A charge of $1.00 will 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.