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164 NE 100 St (9)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 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 Jack Blair Registered Architect and /or Engineer Name and address of licensed contractor James M. Hightower 2848 -E Stirling Road Hollywood, Fl. 33020 Location and legal description of lot to be built on: / / 314 / 3 / oZi5o d2. Lot 6 & 7 Block 16 Subdivision Miami Shores Section #1 i9NW Street and Number where work is to be done 164 N.E. 100th Street State work to be done and purpose of building (by floors), state exterior colors (submit samples) Install air conditioning system 3-x-6 - /0 .l reed and ductwork and for no other purpose. New Building Remodeling XX To be constructed of Kind of foundation RooCovering ( JJ Estimated Total cost of improvements S 800.00 Amount of Permit $ 2 Plan Cubage JOHN WILLIAMS • Size of Building Lot Service Manager Q c; 101 N.W. 176th Street of Miami, Florida 33169 u STATE OF FLORIDA COUNTY OF DADE. Mechanical Contractors J ss Addition Dade: (305) 651 -0440 Broward: (305) 921 -1033 Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 b him ;stated are true. Permit No. p[ 7 9,7/ Date Vi s' ( Read, Sworn to and Subscribed before me. Febr isi J. Reeder Disapproved : ti ; P Notary j ppgtp E= OF "F.IOSIaA '4 9 1 \ \ , Ni OMISSION EXP, B�,t 5,100 Building Inspector My Commission Expires GS. UND. ; PLANNING BOARD DATE f�� - oyyo Date February 5, 19 88 No 1220 streetN.E. 94th Street Repairs No. of Stories 1 ,with reference to the building and its construction may be sent to derstands and accepts his obligatons as an employer of Labor under the Florida Workmen's !anent Supplement, and has complied with the provisions thereof, and will require similar k to be performed under this permit; and will post or cause to be posted for inspection The undersi• d agrees to employ only such sub•ontractors. on work to be performed James M. Hightow /VI CD 35 2- to me well known. 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 and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE _ ELECTRICAL �T PLUMBING o PERMIT 1� 9 7788 Contractor's / 2/e/ License No. ,r ROOFING ❑ ❑ Work to be performed under this Permit Owner of ; ''y; -, . .: , e--- Building , �f _ ? "f 'r r ` Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER tif 1. -4 Bl. Subdi- vision Address of f . • f 1 f Value of Y , ,, a ( Amount of e Building / t ' r".- Ib • ti Project $ -�� l'fi I Permit $ 1 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 applica- tion 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 changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed id) }4 ,. sl,+�' . " ?s ,/ �,P„ °•- Y''- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereundef in compliance th all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as ceptinq this permit I assume responsibility for ell work done by either, myself, my servant or employee. BY AUTHORITY AflOT ,-- Owner's Name and Address___ Name and address of licensed contractor__) Location and legal description of lot to be built on: Lot_ Disapproved If) Date ( Signed) _ MIAMI SHORES VILLAGE Date 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. lI //105 Registered Architect and /or Engineer 1 Date No._!!? ' Street___ _j 1__ & Block �� Subdivisio Street and Number where work is to be done /_10___ _____ • State work to be done and purpose of building (by floors ) __/__aL-4_____A___` and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $__.,2 0_._.610 Amount of Permit $ 4 Or) Zone cubage required_ _ _Plan Cubage Distance to next nearest building Maximum live load to be borne by each floor _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 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 subcont act r , on ork to be performed 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. Permit No.__1___7LI.11 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Buil g Inspector / 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.