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ROOFMIAMI 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 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 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 V N ,-�y 19 �/ /70X) �r C Owner's Name and Address WA R (% X7 l ✓ No. 0 7 Street /L / r 1 7 ST Registered Architect and/or Engineer , 1 /� Name and address of licensed contractor G *ii. i1 ! � j� C' 0-(//V7 ( C7 7 „s: J � i' A/ L " L" Location and legal description of lot to be built on: / �w � ,�l �J ' 1, � Lot /- ii 6 041 1 lock 1 /0 Subdivision -1 1 / 4.... q 9 � f�V 1 ,i/t^W h s/) / & v 9 J � . Street and Number where work is to be done 3 0 / /V " / � 7 ,1 T /JCL_-? State work to be done purpose of building (by flo rs).;tate exterior colors (submit samples / tom >.�.a � —ii St 1_ Atfryy' gt and for no other purpose New Building Remodeling Addition Repairs I/ No. of Stories L l ot To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S es Amount of Permit $ j9 Zone cubage required Plan Cubage Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all 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 obligatons 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 extploy only suc} subcontractors. on work t bb erformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed( Disapproved I J Date (Signed) NV Building Inspector PLANNING BOARD DATE Size of Building Lot STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared 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. 17 0 ct Date // Read. Sworn to and Subscribed before me. . Notary Public. State of Florida My Commission Expires Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Location and legal description of lot to be built on: Lot /J >I /d 4 / /Block i D 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 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 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 % / AWF &VC ,' t Registered Architect and/or Engineer C.�, Name a �S! nd address of licensed contractor W (r d ' / / •' / �/ State work to be done and purpose of building (by floors), 'ate exterior colors (submit samples) V and for no other purpose. STATE OF FLORIDA COUNTY OF DADE. } SS. Remodeling New Building To be constructed of Kind of foundation Estimated Total cost of improvements s �� L/U CI Amount of Permit 5 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 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 obligatons 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 agreeto em olily such subcontractors. on work to Op formed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 stated are true. 0 1" Date ` Permit No. Disapproved (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved 1 ate Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Subdivision //! ✓6.40 1 /T'"W Date Addition N 3 �' Date �i f 19 o . Street / j/ 9 7 , 11 tf.teG le 9 Repairs Read, Sworn to and Subscribed before me. No of Stgries Roof Covering V- �7 N Notary Public. State of Florida to me well known, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 4 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 budding during progress of the work. 3 squares Owner's Name and Address .. : & ... No.. 3.09 ...._... Street.. a .a... -99th St.,, Registered Architect and /or Engineer V .R... .,.. Name and address of licensed contractor ng...EQQfing as � c9 *# 5.7.3 Na W - St, Miami s Fla. 33150 Location and legal description of lot to be built on: Lot . Block Subdivision Stzeet and Number where work is to be done.- _3.09...LE.....99.th... treet State work to be done and purpose of building (by fl oors )p..r ai . - Be -rQof i `Fear off 4 . tin ca_p. 17 � fe1. t... tQ...$ heatg AQ .?... 15# - .asphalt with a layer of pea... gravel ...8111.he.dded...into...hot- .. poured - ..asphalt and for no other purpose. New Building Remodeling Addition RepairsPart... -� No. of Stories 1 To be constructed of Kind of foundation Roof & 9eTiRg 14..:.p ]y...grave.3......-._ Estimated Total cost of improvements S.. 350.•00 Amount of Permit $..5..00 Zone cubage required ____....Plan Cubage Distance to next nearest building Size of Building Lot MIaxirnum 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 Horida 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 ntractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec ion on t • site • the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcon• Y •rs, •n wor to be perfo : • er this pennit, as are licensed by Miami Shores Village. 11111.- . � Remarks _.— .__ (Signed) ��talr► 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 tru l Permit No.____- C 7� r _ f._ Date J Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida uilding,r 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 51.00 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. Owner's Name and Address,.... Hlatton Registered Architect and /or Engineer Name and address of licensed contractorLang ...Rfg.. -,_- ..&... Tile .__C.Q . •_._. 5.73...NW__21St St, Miami, Fla. 33150 Location and legal description of lot to be built on: Lot Block New Building Remodeling To be constructed of Estimated Total cost of improvements $.3_35 s 00 ss. Permit No.__ 1 Date Disapproved Date (Signed) Building Inspector Subdivision Addition Council Approved Date Disapproved Date March.-.24th No-3 street...N. E. 99th Street and Number where work is to be done__ 309 Nit E. _99th Street State work to be done and purpose of building (by floors)..Repar r_. .ro_of._.f1 hir .. .at... ayej._and tile roQ- f--- tje -.. Repairs Yes No. of Stories 1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. and for no other purpose. Kind of foundation Roof Covering Tile & Gravel Amount of Permit k_5. 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 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 inspec on on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon 7y o rk to be performed under this permit, as are licensed by Miami Shores Village. � glil ile Remarks____ Approximately 120 SI. Ft. to (Signed)_ Repair. STATE OF FLORIDA, ` COUNTY OF DADE. j 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 tr 7 ? ,r PLANNING BOARD DATE Chairman Member Member Member Member ..... Member Date has been obtained from for inspection or faulty BUILDIN INSPECTION DEPARTMEN APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the deviled statemen• of the plans and specifit.a,ions herewith submitted for the build- ing or o h. -ructure her 1 described This Ft licatic is made in compliance and con o'm ty w.th the Building Ordinance of Mia ii Shores Villace, or da, and all pro isions of the Law% c f the State of Fh.rid. all o d nances ,,f Mi ni Shores Village and all rules and regu a ion. of the Building Div . i of .iam Sho. iilage 1 'l a , o , ipl.ed with, whether herein specified or not. A copy of approved plans and specificati , n , • must be kei • at buitding durin progress of the wcrk. Owner' Name and Address Margaret Hutton Registered Architect and /or Engineer nd address of licensed contractor. Lang -Roofing-- and.__ Tile ..Co Loeatian and legal description of lot to be built on: Lot STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) MIAMI SHORES VILLAGE Block__ ___ Subdivision Date 8/25/53 _ , 19 No 236 Street_ NW 12 Ave. Street and Number where work is to be done 309 N, E. 99th St. Miami Shores, Fla. 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 Cov grin -- - -- g_ Tile . _.. Estimated' :tal cost of improvements $_. it •0P Amount c`. Permit $__ . 1.00 Zone ^ubage required. __. _-Plan Cubage__._ Distance to next nearest building__ ... _ Size of Building Lot Maximum live load to be borne by each floor _ . ____ ___ e�I ding nspecZor hereby submit all the plans and speciii; ations for said building. All notices with reference to the building and its construction may be sent to The unde signed appli ant for th 's building permit does hereby certify t'iat he understands and accepts his .•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act being S -tion 5966 Coi p led Gen al Laws of Florida P r anen S•ipplt cent, and h s compl ed w:th he prov' ions thereof, and will require s•milar comp lance from all contractors or sub-contractors cmplo 'ed by him in the wo k to be p rf med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public not' e or •otites as are requir d by the Act. The u. d. r ign d agrees to employ only such abcontr. ctors, on work to be perform d der this permit as are licensed by M am. Shores I it : ge. Lag Roofing and Tile Co Remarks-- (Sig -ied ) Before me, the undersigned authority, a notary public, duly authorized to adn::nister oaths ..nd take acknowledgments, personally ap- pearcd and who, being by me first d. ly sworn, upon oath depoees and says that he is the of tli abov de .e. ibed . istruction t, h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. ,/ �S _ E ; i-S3 Permit No.______ _ _ _ _ 7 _ .Date__ .__. __ _ ___ Read, Sworn to and Subscribed before me. Disapproved Date__ Notary Public State of Florida My Com:nission Expires_ to me well known, PLANNING BOARD ____DATE Chairman Member Member -- -- - - -- -- -- --- -- Member Member - -- - - - -- - -_ _ Member ._ Council Approve .Date Disapproved _ Date NOTE: charge of $1.00 will be made for making corrections or ^hinges to this application tft -r approval h is been obtained from the Planr o Board re- inspection fee of $1.00 will be charged when such re- inspection is rm e necessary by improper notice fcr inspe.•t•:m or fa. Ity materials and /or workmanship.