133 NE 100 St (10)BUILDING
ELECTRICAL
PLUMBING
Owner of r I ,/F
Building l
Architect
Contractor
or Builder
Legal
Description.
Address of
Building /
1
c
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 9462
Work to be performed under this Permit
r
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of
Project $
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,
dravitings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
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
g is the understanding that the contractor or builder named above assumes the responsibility for thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements . specifications and that he assumes responsibility for work
done by his agents, servants or employees.
BY
DAT
Signed.
In consideration of the issuance to me of this permit I agree to
pertaining thereto and in strict confo
In et'gypti this it I assume/ ponsibility fo work done by either, s f #ny servant or employee.
// ,;" r
late C,
Amt. of
Permit
195
Contractor s
License No
t '
BY
INSPECTOR
form the work covered hereunder in compliance w'4fi all ordinances and regulations
ity with the plans, drawings, sta ements or specifications submitted to the proper au horities o Miami Shores Village.
AUTHORITY
••••••^"
-
MIAMI SH
BUILDING INSP
APPLICATION F
Application is hereby made for the approval of the detailed
ing or other structure herein described. This application is mad
Shores Village, Florida, and all provisions of the Laws of the St
regulations of the Building Division of Miami Shores Village sh
plans and specifications must be kept at building during progres
Owner's Name and Address
Registered Architect and/or Engineer
Name and address of licensed contracto
Location hold legal description of lot to be built on:
Lot___Zi *I L_ -- ----------- Block / Subdiv"
Street and Number where work is to be done - e' tP•
State work to be done and purpose of building (by floors)__
Remodeling
Kind of foundatio
New Building
To be constructed of
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said bui
be sent to
The undersigned applicant for this building permit does her
of labor under the Florida Workmen's Compensation Act, bein
and has complied with the provisions thereof, and will require
in the work to be performed under this permit; and will post o
or notices as are required by the Act. The undersigned agrees to
permit, as are licensed by Miami Shores Village.
----------------------------------------
R
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly
peare d---------------------------------- ---------------------------
r'
and who, being by me fir
of the above described c.
therein by him stated are
Ao
Permit No ---------- /
/
Disapprove i ...
';.---
(Signe )
Building Inspectdr
PLANNI BOARD
7
Chairman
Member
n, upon oa
on,Ithat he has
RES VILLA
CTION DEPARTME
R BUILDING
statement of the plans and sp
in compliance and conform
te of Florida, all ordinances
11 be complied with, whether
of the work.
d sition
Amount of Permit $
_Plan Cubage
Size of Building Lot___/
by certify that he understand
Section 5966, Compiled Gen
imilar compliance from all co
cause to be posted for inspect
employ only such subc ntr
v --- —
ing. All notices with referen
(Signed
Date
Repairs__
authorized to administer oat
says that he is the
he fo ing application, and
ad, Sworn to and
Notary Pu
My Commission E
DA'I(
• t,E
Member
Member
Member
Date Disapproved
Member
Council Approved
NOTE: A charge of $1.00 will be made for making corrections or changes to this
the Planning Board.
A re-inspection fee of $1.00 will
materials and/or workmanship.
GE
ERMIT
cifications herewith submitted for the build-
ty with the Building Ordinance of Miami
of Miami Shores Village and all rules and
herein specified or not. A copy of approved
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---------- street_e --------
6 29'
- ----------
_ e
--------
------------------ -
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, ----------------------
----
------- - ---------------------
------------------- --- --- ---------------------
e2ee.d
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------------------------------- and for no other purpose.
--------- _ - _ ----------- No. of Stories_ -------------------
_ Roof Covering_ ------------------- _ -------------------------
• 0
---------
00"x -----------------------------------------------------
----- _ ----------------------------- _________________-
e to the building and its construction may
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s and accepts his obligations as an employer
eral Laws of Florida, Permanent Supplement,
itractors or sub-contractors employed by him
ion on th4ite of the work such public notice
J9rs, pr f Ark to be performed under this
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s and take acknowledgments, personally ap-
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------------------------------------------- to me well known,
-- _ -----------------------------------------------------------------------
that he did sign the same, and that all facts
Subscribed before me.
--
State of Flo i i d a ---------------------------- — ---- --
ir --------------------------------------------
s -----------------------
---- ---------------------------------------------------------- ----
--------------------------------------------------------------- ----
applica Date
Con after approval has been obtained from
be charged when such re-inspection is made necessary
improper notice for inspection or faulty
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