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1140 NE 100 St (14)Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. ss MIAMI SHOR VILLAGE Chairman Member Member Council Approved Date 1 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 lyin specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. C Date _.,� f � Owner's Name and Address C 4'.Y S TAN ,4 f 4 J _)' 'l�o /v:a Street. Registered Architect and /or Engineer Name and address of licensed contractor CARL I 1 AnE /Y .S /Jr0 At 1_-J..L.L.... 1 ST Location and legal description of lot to be built on: 7 Subdivision. /kM/ ..g? D /ES ._... sfee ' MAW T A Lot 7 Block /f AA// Street and Number where work is to be done. _.. /4 O /X-4 / dD Z ST State work to be done and purpose of building (by floors) 1 -s'TQ.4y ,4Puiti o and for no other purpose. New Building Remodeling Addition « Repairs No. of Stories To be constructed of Kind of foundation o !o Estimated Total cost of improvements $ , ODD — Roof Covering Amount of Permit $ /d pU Zone cubage required _Plan Cubage 3 /1 S Z — — Distance to next nearest building_... Size of Building Lot 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 subs ractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Si ne 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._ 1 1 Date Disapproved __._. D e (Signed) Win, .(._. Buildin nspector Read, Sworn to and Subscribed before me. PLANNING BOARD DATE '5 ,19 /oo7; ST 1888.24 Notary Public, State of Florida My Commission Expires Member Member Member 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. 1'7 _ c- t;) S T ‘.__ 4-.o ►J . . ea, e5 CL-0 4 C. LL 0 CT 1b Z To- T .. 1" - 4, 6 Sn p en. Cu.. -. 3 373 343i 3 Owner's Name and Address.. 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. Registered Architect and /or Engineer /�� Name and address of licensed contractor____ GAG Q.•.. i'-• a0 ,_.___c ` 4 e Location and legal description of lot to be built on: Lot Block Sub ivision._ Street and Number where work is to be done / 1 0 10O State work be done d purpose of building (by floors) ...._ . _ _. / — .:/T/ • _ _._ _ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 2� Estimated Total cost of improvements $_.cx/.741 @= 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, Pennanent 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 sub ntract rs, on w t be Jo ed under this permit, as are licensed by Miami Shores Village. ,/ Remarks (Signed). 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. p� 0 Permit No /!C 6,-- " , Date 4S-. B f� I Read, Sworn to and Subscribed before me. Disapproved �� Date. (Signed) d'�Y �- / /a- 19iP ,,L No.// v Street.. /00 sg • Notary Public, State of Florida Building Inspect i My Commission Expires NNINC 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. ko') Permit No 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 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 work. � i Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / r c Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Block Service IOverhead T rgtund. Size Feeders Conduit Main Sw Amps ! �� Type of Installat' n— Conduit Tubing B.X.L Metal Moulding G t s Yom Amount of Permit 3 b (Signed) 4N No Street Street Electneal Inspector. s his obligations as an employer of Florida Permanent Supplement, and sb•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 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 thi licensed by Miami Shores Village. The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of has complied with the provisions thereof, and will require similar compliance from all contractors or (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and appeared No Street Subdivision Main Fuses Amps Master Electrician. as are take acknowledgments, personally 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST a V j CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0.1 HP 1.5 HP NEON RADIO TOTAL CONTR. l / TRANS. 1C�'" CHECK ko') Permit No 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 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 work. � i Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / r c Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Block Service IOverhead T rgtund. Size Feeders Conduit Main Sw Amps ! �� Type of Installat' n— Conduit Tubing B.X.L Metal Moulding G t s Yom Amount of Permit 3 b (Signed) 4N No Street Street Electneal Inspector. s his obligations as an employer of Florida Permanent Supplement, and sb•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 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 thi licensed by Miami Shores Village. The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of has complied with the provisions thereof, and will require similar compliance from all contractors or (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and appeared No Street Subdivision Main Fuses Amps Master Electrician. as are take acknowledgments, personally 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.