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453 NE 99 St (10)Building Inspector 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 June ,19 79 Owner's Name and Address W. H. Pierce No.11.53 Street _It.. •._. at,. Registered Architect and /or Engineer . ... . . ....OZ iif t'tating...Co.. .,... 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 State work to be done and purpose of building (by floors) Nylon_. Tent ...Elimigat.ion Vikane- __._. - -.1.8 •24 . hrs.. • 23., -000. cu.f t and for no other purpose. New Budding Remodeling Addition Repairs No. of Stories To be constructed of Kind of 9500 Roof Covering Estimated Total cost of improvements $ r C 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 submit all the plans and specifications for said building. All notices with reference to the building and its construction may Notary Public, State of Florida 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 Sup )lenient, and his 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 subco tractors, on work• to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) My Commission Expires 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..� X -l.f.l1 Date bib) ( /, Read, Sworn to and Subscribed before me. Disapproved .. .......... ... Date (Signed) PLANNING BOARD DATE Chairman Member Member Member Member ...... Member Council Approved Date Disapproved Date NOTE: A ch. rge of $1.00 will be made for making corrections or changes td 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. :alth Dept ;:.h_, Cffite, LOCATION CF' STRUCTURE 0'11E1M NM AND ADDRESS - a CARD HOLDER f • URKTN 17.3.11'.ATT 'G c'PAN7; INC. G : 1960 ra•J; 27 Avenue r-iard., Fi,` 33125. t -, : :,,;, • ra ; : • TTI•:DaR OF CUET.0 F: •(APPR.0 I11S. 'E) • ", WI AIti) a �'P OiiLR ! A�1;1? �'T ir'r C �"' : FF "L ='" SU- ''J : L ORT DLTE'Ait'D AITRC uiA�T FT�IE OF .`Zt'" Cya Ftr Tr LENGHT OF FtP7::G.t.TIcI' PE IOD .(- rid�TPi1�TL` � :s,2Li,' Hours DISTANCE TO NEAREST STHUC' • �,0 CVO 10 FT. • • CERT?'�'2ED FUrIGATTCN. OPEIV.TQP.- OR SIECL L FtmaGATION WE: Jill Y. It NG TEL FHONE: DAY: ' 6 33°3:21 ,pp I � ^THT : 624. 686.. tRITOLTICN SHL II • B2 P. F , p ; T 1LL TI ° S Try STRICT :-DI:- �R:MTC ; TO • THE F �'''fi r_ *m' ;GIS EPP LPdR Z ip FLA, STATE BC -.RD OF HEALTH P. ;Gt LATIGNS. CE4GE,. /` • ti LC i T'EI\ T , UNDER 10 .FT, I • c, JP,f. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT .' .e/fi APPLICATION FOR BUILDING PERMIT c I . ` , / 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 B ilding Division of Miami Shores Village shall be complied with, whether_h rein specified or not. A copy of approved plans and specificat ns ,fnus � e kept at building during progress of the work. - J1 " �_._:�•:j� , y r < Date , ' ,19 Owner's Name and Address 1 ' _ I ' ._ No:4_ / Street , -4_' , Registered Architect and /or Engineer C ` Name and address of licensed contractor Location and legal description of lot to be built on: of - - -/ 2" Z / _ } -1 Block 5 " ' oet and Number where St t k b d d Permit No Disapproved (Signed) STATE OF FLORIDA, COUNTY OF DADE. Ss. k is to be done ybdivision _ s a e wor to a one an purpose b f building (by floors)____— _. L - B dir>" 1 W T , ; "?� Remodeling Addition Repairs No To be constructed of ' ` - _1,,_ Kind of foundation R .Covering _ f Estimated Total cost of improvements $_ fi _ - ' Amount of Permit $ Zone cubage required 4 " %Z1 c2 0 f� ' __Plan Cubage '°1 Before me, the undersigned authority, a notary public, duly authorized td- administer oaths and take acknowledgments, personally ap- peared Distance to next nearest building / / �9 __ __Size of Building Lot 1 Maximum live load to be borne by each floor '4 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 on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subgontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks__ -_ (Signed) Read, Sworn to and Subscribed before me. 'and for IV) other pose. of Stories 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 carefu rea the foregoing application, and that he did sign the same, and that all facts therein by him t - ' Notary Public, State of Florida tor y ommission Expires_ A PLANNING BOARD Ta DATE Chairman ember 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 wort manship. a c,VS __;c 2-7_4 9 e ,-, 3� o �. • r-! y„ 94)(/)- b 6 9 0 1!4 ,er'' f . 5 6 7 I , 24 4, - ..el— , /9- 1 OWNERUILD51 at end of construction of residence at #453 N E 99th Street, on Permit #7373, issued Dec 6, 1943 rasnt74ivo and no/100 25.X) TAMtS ROBERTSON 641 N Z 138th St North Miami • • , Di `-.:-‘6,:31,48 1p - a • 3151 Deceaber:6 1948: at specified above STATE OF FLORIDA) SS COUNTY OF DADE )_ A F F I D A V I T _ of the Village of Miami Shores, ounty of D:•- and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, nn»Pnd- ing paragraph (d) of Section B -368 of Ordinance No. 97 ,f e Building Code of M4iami Shores Village, he desires to build a ' % on Lot ^V Block _ of _ ivision, he is the owner of said property, and will be the owner of s,id �..f_ - ... _, .. _.. _ that he will do the work personally, d that he mill, at such times as are required by the Zoning and Building Director:- 9. Not set himself up as a "contractor ". 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner - builder as herein provided, is limited to but one owner - builder permit each 2 years, and where an owner - builder has once exercised the privilege herein conferred no second application for owner - builder permit shall be granted in loss than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: S UBS r AND SWORN TO BEFORE ME this day of NOTARY PUBLIC R Pub &E, State of Florida at large, . . 7 Commission Expire" Sept. 22, 1952