Loading...
164 NE 100 St (6)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMET' 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. \ 1 Date Q l� t sf_c -- , 19_(a Owner's Name and Address �41__ S _t1 - L ' h\..4t 1��C No ���1.) Street___ Registered Architect and /or Engineei 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_________ 4 __ iE 4 e cc ' State work to be done and purpose of building (by floors sLea - WA.av p • a and for no other purpose. New Building Remodeling X Addition Repairs No. of Stories ) To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 1 S_ ° Amount of Permit $ • b Zone cubage required , \ .Plan Cubage Distance to next nearest building Qa .1w�e.NA Size of Building Lot Maximum live load to be borne by each 1oor 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 inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only : . subcontracto on work to be performed under this permit, as are licensed by Miami Shores Village. \ Remarks (Signed �,} Tl� 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 l___ o 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 Disapprove (Signed) Building In Date D . /PLANNING BOARD DATE ctor 0 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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. 1 BUILDING 'ELECTRICAL PLUMBING Owner of Building Architect PERMIT N? 5100 Work to be i erformed under this Permit [� r 0 / yl1 e or Builder Contractor 1 1 Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DATE / 194 Subdi- vision Address of 6 , 1 Val �% ", / A 77 r , / o ' A Protect t This permit is granted to the cactor or b name d above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinates pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper mynicipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are ch ged without • thorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above ass -' e responsibil't rfor a iorough knowledge of the ordinances and regulations pertaining a ng to the work covered hereby whether shown on the planrdr ,. �o ' _ st. ent o specifications and that he assumes respon- sibility for work doe by his agents, servants or employees. /+�' " Signed I IlirrETOR Inconsideration of the issuance to me of this permit I agree to perform the work coveredjhereunder in compliance witaa ordinances a i ations pertaining' and in strict conformity with the plans, drawings, statements or specifications submitted to the proper ant/Wales of Miami Slip s illage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. f a y fL:, ' 4.4.y., /1 COL s- CONTRACT,, R 011 BUILDER 0 , BY Contractor's License No By. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of I Building � ;� �� F CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's !� wive '. e 4 License No. wive PERMIT N? 5100 Work to be 7 rformed under this Permi Signed: / 1941 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- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are cha}ged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assum ,tre res.. ibilit e bkm.. a , rough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dr""aVi . . €nts yfr 4ecifications and that he assumes respon- sibility for work done by his agents, servants or employees. By 7 CTOR In consideration of the issuance to me of this permit I agree to perform the work covered Jaereunder in compliance with all ordinances and relations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. • BY AUTHORITY 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. Date , Owner's Name and Address t4t_' 1-Le(,LR--g_T 44.q_T_ `No 140 4 Street_ __ ALP' ) 0 _e)f�st,____ Registered Architect and /or Engineer Name and address of licensed contractor Q_J!YhLE_R Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1 !n4__11[.1A_G? L,_3 r, State work to be done and purpose of building (by floors) A_S?_r) Cr St A{___T4±__ A1�' A2_L 7:6_0 L__1:.1tsd_5.6 • 'New Building Remodeling Addition Repairs No. of Stories To be constructed of Ca_t" S_,. Kind of foundation Ste_ CL,. Roof Covering r6 At R! L__-Ta1_ , ____ Estimated Total cost of improvements $ 2c, C =" Amount of Permit $__.f• 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 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 subcontractors, on wor o I - p ` ormed under this permit, as are licensed by Miami Shores Village. _ V/ Remarks (Signed) , /' VP/ Remarks / • I STATE OF FLORIDA, COUNTY OF DADE. j SS. `MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT and for no other purpose. 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 4. therein by him stated are true. R f Aft Permit No �/ Date__! (�) 4 Read, Sworn to and Subscribed before me. 1,1,0149/‘ ? Di::v& rod , at id of Florida State Public, t Noay uc, ae oora d) f 9/$4 u spector 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.