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320 NE 98 St (13)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the appproyal 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 a•: building during progress of the work. Date C « d , 19 Owner's Name and Address._..._! ,�_ �_�� No Street Registered Architect and /or Engineer Name and address of licensed contractor ,.5 - e Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 24§ • . -� Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss • Disapproved Date ia State work o be : ne and purpose of bu' g (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Sto s To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ li 0 z .__ 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 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 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 �)3e perfo . ed under this permit, as are licensed by Miami Shores Village. A 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 for oing application; and that he did sign the same, and that all facts therein by him slgtgd are true. Permit No._ .( `� Date " / o Read, Sworn to and Subscribed before me. (Signed) .__ZA- Building Inspector My Commission Expires Notary Public, State of Florida 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 ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE. FLORIDA ❑ DATF 195 ❑ PERMIT N? _ 4235 Contractor's License No. Work to be performed under this Permit Lot Bl. Subdi- vision Value of Project $ Amount of Permit $ 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 knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the 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 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ems" Owners Name and Address be sent to.. APPLBCATION FOR BUILDING PERMIT Application is hereby usnde for the approval of the detailed statement of rile plans and specifications herewith submitted for the build • in¢ 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 ittrilding 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 Engineer....... r \�� / t y� n � 1 `, .� v, � l lJ, \ tl \�C w � . , �,��wa�•w/ww,e \Yl k I� J - Name and 'depress of licensed contractor _.._ . Location and legal description of lot to be uilt on: Lot Block . . Subdivision ; i.. . .(../.. ) . / ,b L 3, 5 / � /3 7/e , Street and Number where work is to be done Sao e ct '9`dsk _ _ State work to be done and purpose of building (by floors)._ 1:R. QU t :V4.7 ._ ).. _ .._. ... .........._...«.. New Building Rcmodcling Addition Repairs To be constructed of Kind of fo dation Roo Covering . ......... ...._..__ Estimate Total cost of improvements $ w r-/-7 , (Y' Amount of Permit S. 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 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 Sup ,lament, 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 sryt su ontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks..._ (Signed STATE OF FLORIDA, COUNTY OF DADE. I ss. Before rpg the�,ndersigned author a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ` 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. . / g . 7._ Date ? /�o,� ._._ Re Permit No.. Disapproved ....._ Date otary Public, ( Signed) t 2 9 , Buil •mg Ins e1" tor My Co minion Expire' PLANNING BOARD DATE Chairman Member _ .Member — Member _ Member..... _....._......_..._._ ...._ Member — __ .._....._ _.._..... Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be mnde for making corrections or changes to this application after approval has been obtained from the Plannir,g Iluard. A rc.in'pection fce of 51.00 will be charged when such re-inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 7/q 9 .S ._. No. «. «« ..,..»........ street_.. _ No. oo es Of - ne. / %, 44/' and for no other purpose. ...........to me well known, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date l / ob Address -- 1 ` �/.B a 4. 7 4-, Tax Folio Leg . - i on Historically Designated: Yes No .� � Owner/Lessee / Tenant , ` , y aol\b4 ( Master Permit # 4 174 0,6 Owner's Address 6 egD Air_ '73 1/ Phone � -[ ( i 6 Contracting Co. Address /1/0 /Q C> / /6? f Qualifier SS# Phone State # _ Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLU / B S IN G MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION G¢111U P & z () ' -L- tk 1 C Square Ft. (9D0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: certify lawnreguTng cons io and Sign[ure of owner and/or Condo President Date ?:5)" Notary as to Owner and/or Condo President Date My Commission Expires: 1 - 9 7 FEES: PERMIT APPROVED: Zoning Building Mechanical v g l -1r7 ro ufffrrE the .regoing rmation is accurate and that all work will be done in compliance with all applicable Estimated Cost (value) / orize the above - name: •ntractor to do the work stated. g ature of Notary as to Contractor or Owner- Builder My Commission Expires: C.C.F. Fir NOTARY Electrical r or Owner - Builder Date Date BOND TOTAL DUE 1,64 ' °2-6 Plumbing Engineering