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55 NE 99 St (11)Registered Architect and /or Engineer Name and address of licensed contractor Location and sc legal description of lot to be built on: ._L Lot_i_g'_. Block 9 Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling Addition • 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 Mianii 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__ {qc Owner's Name and Address._.. �.?t�rYit ? t4 2'j No cf Street L/ A V A_, Mils 14( $ CC e „1 A 1 D, To be constructed of Kind of foundati Roof Covering "0 of Permit $ A Estimated Total cost of improvements $ Zone cubage required _Plan Cubage_ V X 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 w h reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, mpild General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar complianc 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 poste 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 suchtsubccntractors, on work to be performed under this petinit, as are licensed by Mianii Shores Village. Remarks (Signed) / I Notary Public, State of Florida 19.. and for no other purpose. Repairs No. of Stories a 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 sta are true. / ,/, Permit No _ Date 1 ! r/ w .7 Read, Sworn to and Subscribed before me. Disapproved (Signed) B ilding nspector 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. _ 6 r C1-0 �� Cti GJ�C y / / L • e PP e— o 'NIi / - I I 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. STATE OF FLORIDA, COUNTY OF DADE. ss Permit No Date Disapproved (Signed) Date - Date... No Street ' Owner's Name and Address...... _. 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 State work to be done and purpose of building (by floors) - _� f and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Cover' g Estimated Total cost of improvements $ Amount of Permit $ Z- • 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 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 5968, 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 be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) alada 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 d ly sworn, upon oath deposes and says that he is the. of the above de ribed :'ns 'ction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by bin t to Read, Sworn to and Subscribed before me. Notary Public, State of Florida ilding Irr *Wtor _ 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. Atvl4 SHORES VILLAGE, FLA. JOB ADDRESS INSPECTION 0 S ri TIME READY REMARKS: INSPECTOR w 4 MIf- Al SHORES VILLAGE, FLA. JOB e� - - - - - ADDRESS 41- 9, INSPECTION IL - ? TIME READY REMARKS: N9 5395 N9 5419 BUILDING ELECTRICAL PLUMBING ROOFING Owner of e Building Architect Contractor or Builder Legal Description Address of Building Lot -MIAMI SHORES VILLAGE. FLORIDA DATE 195_1 Contractor's p PERMIT N9 4986 it Work to be performed under this Perm Bl J 1 License No 6414 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 ; or 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 sub ±itted 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. A 9 � CONTRACTOR OR BUILDER BY J AUTHORITY e