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933 NE 99 St (11)STATE OF FLORIDA, COUNTY OF DADE. J ss 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 erein s•ecified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address. ....!bl /2.. Ce-, _t2_s_s...zi° 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) -V New Building ' Remodeling Addition p irs No. of Stories To be constructed of Kind of foundation Roof Covering ..=. Estimated Total cost of improvements $ l i l / r$' Amount of Permit $_._. ® 0 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 Date BUILDING INSPECTION DEPARTMENT 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 - •. tractors employed by him in the work to be performed under this permit; and will post or cause to he posted for in ection on the site e work sue public notice or notices as are required by the Act. The undersigned agrees to employ only such sub `.ltrac; s, on w. o be perfo $fed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowled ' ents, 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 Disapproved (Signed) Date Date / 7 No Read, Sworn to and Subscribed before me. Notary Public, State of Florida Street_ ... ........ Street -- • and for no other purpose. Building Inspecto/ My Commission Expires NING BOARD DATE Chairman v 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. 9.19 O 0 N 9'9 5 Z` Owner's Name and Address__ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLA BUILDING INSPECTION DEPARTMEN 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, whethe? lie ein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Registered Architect and /or Engineeie, Name and address of licensed contractor_ / /2 Location and legal defcrip 'gn,of lot to be Jo t on: Lo `lh Block Sub Street and Number where work is to be done___�•�e.r e, * _s{?a__�c__ -_' � State work to be done and purpose of building (by floors)._ Date and for no other purpose. No. of Stories New Building Remodeling To be constructed of Kind of f undation Roof Covering ocy Estimated Total cost of improvements $_42 " 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 Addition ✓.�� - -i=ce - -,� • No._ Repairs 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 th site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub nt a ors, o wdrk to be performed under this permit, as are licensed by Miami Shores Village. O Remarks (Sign ed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Permit No 4 Date/ ` //' ' _ Read, Sworn to and Subscribed before me. Disapproved ,._ Date (Signed) __ - / Building Inspector ---------------------------------- 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. , � . Notary Public, State of Florida 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. i: 7 ; 2L0 Z :; ' ,;\ © - 4 9 - WILDING LECTRICAL 'LUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N? 8643 Work to be performed under this Permit Dwner of ; f : ) ► < 'architect _ Jontractor it Builder ,ega1 Lot Bl. )escription 'address of 3) ! Value of Amt. of , iU11C1i g // / 1 1r ' Project � f 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 appli- -ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any Jaw, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 •ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and -gulations pertaining to the work covered hereby whether shown on the plans or drawi gs or in the atements or specifications and that he assumes respon- °bility for work done by his agents, servants or employees. r i, , Signed X , i _C: ( B . .. , 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 rrtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. '- accept / ' permit I assume responsibility for a work done by either myself my agent, servant or employee. mac. � ,... ;,�..•i� Sifbdi vision Contractor's License No. CONTRACTOR OR BUILDER J BY AUTHORITY