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343 NE 99 St (5)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or sire 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. � z _ Owner's Name and Address ` IC H �R I Ho/YIi) r T . No. .. Street—ill e 1 Registered Architect and /or Engineer 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 3 " 1 Al .E _ 1. a_.. _ as. ..�.� L E� �.._.. State work to be done and purpose of budding (by floors) S /N 4 L F FL-00/Q- �_le / ie 0,0 I NStt)E © p ho�� 1�L'I -r4� %/ E ,4T R ` IPA I R - � iis rsR 4 Jv Disapproved (Signed) Date .,,t.... *MI ... tit•t11lflf!fAN•• 19 Roof Covering Estimated Total cost of improvements $ .!'000 Amount of Permit $... / O..0 i St1JE 0 F_ ; Ofr1' ( <MC1 <S3 f 6PLsi <F f2F A+2t1C CL an�d for no oth /152.0se. New Building Remodeling Addition Repairs... No. of Stories To be constructed of Kind of foundation Zone cubage required .Plan Cubage Distance .to next nearest building 1' Size of Building Lot Mfaxunum 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 hint in the work to be performed under this permit; and will post or cause to be posted for ins ection on the site o he work such p lic notice or notices as arc required by the Act. The undersigned agrees to employ only such su ins ors�b�rl be performedxinder this pennit, as are licensed by Miami Shores Village. Remuks (Signed)._ . 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 true.. O a No.._.� 1.�� Date 1) Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commiuion Expires PLANNING BOARD DATE Chairman Member M ember 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 Pl.rnnir.g Board. A rc- inspection Ice of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty materials and /or workmanship. This permit the bniitc g .above described, as p that all facts stated in t1ielappi cattox a re and compliance with the building laws o regulations of the building department j laws, ordinances or rules and reguIatio .•� ., &'.�s.e pe c€ncatoS s'et?BCS` e and that the construction complies State of Florida and with the build' tsa ami Shores Village. This•pertnit may upon any change in the,plans and spe c any • Cctatracto, or Budder SED LOCA To T his permit i graace• upon tlt express condi ns and specifications submitted, and in accorda fin ing laws f Miami Shores Village, and rules a nd isne ,• • e violation of any provisions of said bu1ding: inspector. Tet C: In ,consideration of the issuance to me of this - building permit I hereby agree to do the proposed conttruction in strict conformity with the :application and plans and specifications thereof heretofore by the submitted, and in complian with all provisiona of -al: building laws of the State of•. 1orida, all the building ordinances and coning laws of Miami Shores Village and,a3i =zn1es and regulations of the bulkil j ,intent of Miami Shores V3: age. Date ,19 • • • BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ett---,1 ❑ DATE ° ' 1957 ❑ PERM 1T -�' l Yn x c e ❑ :, ❑ Owner of Building LI-4 �� t: . .4, it L Architect D ,„4 ....J • t 4 .-- �I - if? Contractor or Builder A d .J e L 0 Legal Lot i ii Description ' ' r: *d 111 B1. Address of 3 4 3 f tf . t . [+ [� Building 7 7 CONTRACTOR OR. BUILLIER f tt BY ,- 7,/ c c •4.1 Subdi- vision AV, rt J / /... �' t r Work to be performed under this Permit . ?/ a Value of o 4 C 49 Amount of Project $ II 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 comphcmoe with any plow 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 f ; . = «. »ndition upon which this permit is " granted is the understanding that the contractor or builder named above assumes the responsibility for a thoro •h k ledge of the ordinances and regultons pertaining to the work covered hereby whether shown on the plans or den r in the *laments orec ation and he assumes responsibility for -work �- done by his agents, servants or employees. Signed; SPECTOR In consideration of the issuance to me of this permit I agree to perform the work cov4> hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or speciflcaii =. -« ...hied to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility k grIl wort done by either, myself, my agent, =rvant or employee. AUTHORITY 1 -7` ( -27 D MIAMI SHORES VILLAtGg - r ? 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 IO" L + , 19 5 7 3 y Street X Owner's Name and Ad Registered Architect arrdIpr'Engineer Name and address of licensed contractor__ Location and legal description of lot to be built on: Lot____ / t l £ 2 J '` ._ / lock >t Street and Number where work is to be done k2 /( State work to be done and purpos f buildi by fl rs) and for no other purpose. New Building is Remodeling Adddi v Repairs No. o n To be constructed of C• /j - '' Kind of foundation 4 ' Roof Covering o �T Estimated Total cost of improvements $ /e-7-"D Amount of Permit $ S S T Zone cubage required _Plan Cubage 4-f. 3 Distance to next nearest building. Size of Building Lot No 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 fro . contractors or sub - contractors employed by him in the work to be performed under this permit, and will post or cause to be poste or inspection . the si : •e wo ch ublic notice or notices as are required by the Act. The undersigned agrees to employ only su subcontrac ; on ;�. �.. .er der this permit, as are licensed by Miami Shores Village. Remarks (Signed) - STATE OF FLORIDA, I COUNTY OF DADE. f 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 Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector 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. L.. FV' ; Sh ?_ C s F -- -D rz a r L. A 4,0 P, a (0‘- 1 �� 11!- L." Ucc�Le is, 7 0 / 4-6 ;.. -t cam, e 'f 1 MIAM BUILD INSPECTION DEPARTMENT APPLICA 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 complie with, whether he 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 Zone. cubage required HORES VILLAGE FOR BUILDING PERMIT PLANNING BOARD__ _Plan Cubage Street......... __-- ___m______- °- _ -- °-_ Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision \ST( Street and Number where work is to be done State Work to be done and purpose of jiilding (by floors)___ Cr 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 $ D Amount of Permit $ Z_ ° 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 5868, 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 hire in the work to be performed under this permit; and will post or cause to be posted for insp • 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 subcoo ctors, on worrJ to be perfo} ed under this permit, as are licensed by Miami Shores Village. Remarks +_____ ___. (Signed) 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. / �� i ' Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date _. ( Signed) • C . l / Notary Public, State of Florida Building Inspe or My Commission Expires.. DATE Chairman Member _... -_- Member 77 , 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 chard w en such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. i