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BUILDING PERMITApplication 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 the work. Owner's Name and Address Lot MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT , m (4/ Registered Architect anchor Engineer 3GLr Name and address of licensed contractor Location and legal description of lot to be built on: Block Subdivision Street and Number where work is to be done /42 /✓' C / 7 / f/ State work to be done and purpose of building (by floors), state exterior colors (submit samples) Q17 /4E P " G # / qElr/'.p -'I/ S/-% /L e-0 %/ - 9- / : / f ,-/r //1/ G✓ / / // and for no other purpose. New Building Remodeling Addition To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 7 d2� 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 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 obligatons as an employer of Labor under the Florida ‘4brkmen'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 subc9tractoys. on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) . 3079 9 Date J Date Repairs Date �— /5 192L No. /16g Street //..e. /O/ S/ No of Stories / Read. Sworn to and Subscribed before me. STATE OF FLORIDA COUNTY OF DADE. ss. Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared 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) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship. Notary Public, State of Florida MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT pplication is hereby made for the approval of the detailed statement or we plans and specifications herewith submitted for the build • ing 'c 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 specifications must be kept at building during progress of the work. G/ 11)R, d- M RS. M U E L C ER Date..._..._......,_... 19 Owner's Name and Address ....J.J.6. » lot... S T _ No...._ . Street_ Registered Architect and /or Engineer....l42l.i:..4, A'm F TS ct►SJ W Y _ „...,. Name and address of licensed contractor pOP/ L6. » CI-A S5F_ 10 C; 9 S I . Location and legal description of lot to be built on: Lot l B lock / 2.7 Subdivision fi ihf f �s » _ S c ,T l o W s Street and Number where work is to be done J /...8 . . ! 1 £ T State work to be done and purpose of building (by floors) » fn/ Remo pL 8 r. B _..__ and for no other purpose. New Building Remodeling .... Addition Repairs No. of Stories To be constructed of C13..S' Find of foundation CONC.R.eIC Roof overing ... wi9:117.c.......F T 24 71 G ' 1Lt I-e Estimated Total cost of improvements $ / ?. O V Y Q.. Amount of Permit S. Zone cubage required .Plan Cubage S. Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby s�r bmit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to VOA eCIA.VSS Pt.) 3e2.5— /1./F 96 --C 7 /09 1 S.I ne& T3/ d 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, anti has complied with the provisions thereof, and will require similar compliance from II 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 ° spectio on the site • t ork such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su, .ntract• s, •n wo .. performed under this pcnnit, as are licensed by Miami Shores Village. i Remarks ( Signed) nr� STATE OF FLORIDA, 1 . COUNTY OF DADE. Building Inspector 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 statgd are t;ue.. Permit No.._..! '' °"1 r' Date I4° Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) My Commission Expires _...._... ».._.__ _ PLANNING BOARD DATE . Chairman Member \fcrr,ber Member Member Member — Council Approved Date Disapproved Date NOTE: A charge of 31.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning hoard. A re inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. APPLICATION FOR BUILDING PERMIT t .Application is hereby wade for the approya1 of the detailed statement or Inc 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 tP »; 13nilding 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...---------------2.-....L.-5......19.$55 ate..._..._... lob_ ..- ...19. Owner's Name and Address . _..MQ-g....11A1 fa1..R.i2t . No....�.) lob . Str _ .... e �.i IQ 1 `ST Registered Architect and /o . TIM S eN6 t: A(f'iT &- , . ' p A r- Name and address of licensed contractor. 1 94 ctor. a..0 V k 'O '( 5 Lot Block 177 Location and lc al description of lot to be built on: 1 J 02(I � �II / Suu�jbdivi�sioon. W t /k 5-f � ? . 0..N 1 Street and Number where work is to be done 1 1 t ! R 111 _..1..Q 1 5T _ __ g State work to be done and purpose of building (by- Aoors4. $ 5.QL ./Ae1i't f LI (7 PQS.t�e_ . . -. :._ptt n.... hF STATE OF FLORIDA, COUNTY OF DADE. j Permit No.—....- Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT _ and for no other purpose. New Building Remodeling Addition 24-- Repairs No. of Stories To be constructed of Kind of foundation oof n Covering Estimated Total cost of improvements $ ...... gl.QO Amount of Permit S... • e 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 buildin and its construction may be sent to. .. 1/AN.../',�..Q“/.c.72.. . k400t , :.... /..70.. - 7? sr Ctflas . AY . . 6-f wed-6E .. 3/4/ The undersigned applicant for this building perinit does hereby certify that he and of Labor under the Florida Workmen's Compensation Act, being Section 5966, Comp and has complied with the provisions thereof, and will require similar compliance fr in the work to be performed under this permit; and will post or cause to be posted or notices as arc required'liy tthe Act.The- u.ndersigned agrees to employ only su permit, as.are' licensed by MM / hoo r es Villa: f�Y T1(:1 7 6� (Si Remarks ... ........ -. .. ..... ... __._.�_ ( g ) r Date Building Inspector PLANNING BOARD Citair:nan \Icrr,ber Member.. ... �.....- ...._..._._ ..... Council Approved My Com Member .. Member .. Member . Date Disapprov, NOTE: A •c•h.irgc of $1.00 will be made for making corrections or changes the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is mg materials and /or workmanship. and accepts his obligations as an employer ne•nt Supplement, employed by him such public notice rformed• under this eral Laws of Florida, 1' contractors or sub -contr spection on the si a of th ntractors, on w to Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 8 B' i A' Ufa.. ta.�s1 Erg Everything For the Pool 8 Patio BRIAN VAN BOWER President (305) 868 -4833 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 fats therein by him stated argt - 1 Date. 7 Read, Sworn to and Subscribed before me. • * Duality Pools * Spas 8 Decking * Maintenance * Repairs * Chemicals * Accessories * Patio Furniture * Solar Heating 1708 - 79th St Causeway North Bay Village, FL 33141 Date o 2— P i e Metropolitan Dade County Building and Zoning Department Attention: Building Official 1 23.03 -92 SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as L07 &. o c-i. /77 , located at / ' 1/6 " - /6( ST. In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety bar- rier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for ob- taining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate.