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55 NE 99 St (9)V D ' Street and Number where work is to be done__ Disapproved (Signed) _.__,<, MIAMI SHORES VILLAGE 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 .....C.S Registered Architect and /or Engineer Name and address of licensed contractor enk6.3 e e., Location and legal description of lot to be built on: Lot Block Subdivision State work to be done and purpose building (by floors) BUILDING INSPECTION DEPARTMENT Date... No. .. J.r..S L. Street_ - >r• Nom...- ,..."t.� — i7o 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 $ ! 7 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 be performed under this permit, as are licensed by Miami Shores Village. Remarks (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 are true. Permit No 47.47,0. Date . ° / Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspe .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. Z.os.,4 4 7 �� - r A U 2 00.x.. 4 00 I Ti 0 GHA i2L� ov1 "C) ' cs 54-0 a. ES re-4- J �~7 /C J IF j 1 1 _ g 4 Dt=a., l o, /94T.. 0 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor, or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA PERMIT N° I Work to be performed under this Permit 1 Bl. . wi- j —. Signed. 2'. q Subdi- vision Value of r , Project $ J - INSPEC'OR 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. - BY In consideration of the issuance to me of this permit I agree to perform the work covered hereu er in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted o 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 MIAMI SHORES VILLAGE, FLA. JOB ADDRESS 6 !t Q 7 ,4 /%2e , INSPECTION TIME READY INSPECTOR N9 5553 REMARKS DATE BUILDING ,Rj ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building � tt *�+ i" Architect Contractor or Builder t_�` Legal Lot Description Address of « 41. Building � .' ; MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 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 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. J , , , ; Signed. P.a' BYE INSPECTOR f In consideration of the issuance to me of this permit I agree to perform the work co hereuid 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. Work to be performed under this Permit Value of Project $ 1 -. 4" t Amount of Permit $ Subdi- vision CONTRACTOR OR BUILDER BY AUTHORITY THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS • �p PAW/ 11956 THIS LICENSE EXPIRES 19 In consideration of the sum of Date Issued THIS LI n -» 1 License Paid to Miami Shores Village, Dade County, State of Florida, Dollars ($ N9 1707 is hereby licensed to engage in or operate the business of MIAMI SHORES VILLAGE, FLORIDA By SE NOT TRANSFERABLE WITHOUT 'The APPROVAL OF THE VILLAGE. MANAGER. APC 6 No. STREET OF Lor STORIES BLOCK SUBDIVISION, ROOF jfy A PART g Lo•r ri FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO RE USED FOR ROOF COST OF BUILDING PERMIT FEE dr � :. ^' 4 ri Frame, (Tile Concrete, Stucco Residence, Ajrte ; Stoats, FT.._ !/ , d v �• BUILDING PERMIT • Owner of Building... Miami Shores Village, Florida, e i' Contractor or Builder PROPOSED LOCATION DESCRIPTION OF BUILDING MIAMI SHORES VILLAGE OFFICE OF BUILDIN INSPECTOR , 193.... R°1 °� Dated ,I9. This permit is hereby issued to To the building above described, as per application, Flans and Specifications heretofore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of 'the building department of Miami Shores Village. `,: !' (SEAL)