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69 NE 98 Stappeared Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss' 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 building 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 regula- tions 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______________ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to 5 1 7 :1 built on: t " .} _ -.E- �� - /7 Block -- ?,),4 Lo -- — — Subdivision State work to be done and purpose of building (by floors) New Building L'''' Remodeling � A } ddition__— _______________ To be constructed of_�'!1.d_ £,_ Kind of foundation ltd�-•el• _ - 'Z.3ot'�Siovering__ Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required ..__ t f Plan Cubage / ` t _ Distance to next nearest building - ______- -____ —Size of Building Lot 731 _21 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 MIAMI SHORES VILLAGE it: 67 Date______ — t om " /IL 19� Net Remarks (Signed) PLANNING BOARD DATE Chairman Member Member Member Member _ _ Member Council Approved_ _Date Disapproved and for no other purpose. Repairs No. of Stories — 1 .1-4■ 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 subcontractofs, on work to be - porfmruutd.._ under this permit, as are licensed by Miami Shores Village. Before me, the undersignedauthQ,tity, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, om' and who, being by me first duly sworn, upon oath deposes and says that be is the c " j t - 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/ a 0/ _ _— Date Read, Sworn to aitdSS3bscribed before me. Disapproved _—_— Date ` . ✓ -.' Notary Public, State of Florida- (Signed) _____ Building Inspector My Commission Expires ' r � - ` __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. (over) ti LIST OF CONTRACTORS, SUB- CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior), Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor New Building To be constructed of Estimated Total cost of improvements Zone cubage required_ Distance to next nearest building 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 building 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 regula- tions 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 if building during ogress of the work. S a� Location and legal description of lot to 1 built on: Lot2LL_g _J Block__ __________ Subdivision 72 - {.! • Street and Number where work is to be done / State work to be done and purpose of building (by floors) __and for no other purpose. Remodeling _ ___ Addition__— _______— ______. Repairs__�______________ Noof Stories �L _�– �i ._ Kind of foundation t. _!° s ` Roof Covering 5 ( Amount of Permit $ —Plan Cubage 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 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 inspectto on the site of a wok such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontracylj��pn wort of $rfylcmed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigns uthpfity, a tart' ubli duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me first duly sworn, upon oath deposes and says that be is the of the above described construction, that he has carefully read the foregoing application, therein by him stated are true. Permit No.../0/ Date Member Me Member Council Approved_ Date (Signed) Buiing Inspector LANNING BOARD _Date __Size of Building Lot NOTE,, A charge of $4.00 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 materials and /or workmanship. (over) (Signed) Member Disapprov ommissto n x it E p es -- O to me well known, and that be did sign the same, and that all facts Read, Sworn to ` d rid fore ,, O otary Public, Sta o Flori • --- 10 _Date notice for inspection or faulty 1 I General Building Contractor. 3. Electrical. 15. Solar Water Systems. 16. Well drillers. LIST OF CONTRACTORS, SUB- CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone.. 20. Electric Fixtures. 21. Illuminated Signs. specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head 14. Roofing, Sheetmetal and Skylights. Doors. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, e 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp - Proofing an. ' aper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum . other flooring not otherwise 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and. Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials. for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village.