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334 NE 100 St (2)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 regula- tions 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. Street and Number where work is to be done__ , State work to .be )one,and purpose of building (by floors) f STATE OF FLORIDA, t COUNTY OF DADE. Disapproved (Signed) SS. Date_ (over) 4 2— 3 , 19 flO street_h_Za e % * Date Owner's Name and Address e VI, e7,,,..,..-4,1_ _z_, i-7 Registered Architect and/or Engineer—________ — -- 1 Name and address of licensed contractor ----t- Location a legal descri tion of lot to be built on: , 1 Lot 4 .." t Block__I i 0 Subdivision :L: 4 el _Lt '-- PLANNING BOARD _DATE Chairman Member Member Member Member Member Council Approved_ __Date Disapproved 4 =1-122I4 r and for no other purpose. Ne Building ______ Remodeling Addition_ Repairs No. of Stories__________ To be constructed of--41-€1.2.&1(ind of foundation rb- Roof Covering 6 Estimated Total cost of improvements $ _ 2 J _Amount of Permit $ Zone cubage 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 e siof the work s h public notice permit, as . C)4 4 y un t are licensed by Miami Shores Village or notices as are required by the Act. The undersigned agrees to employ only such subcontractor W to be erf der Remarks (Signed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State of Florida Building Inspector My Commission Expires 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.— .1.4223 Read, Sworn to and Subscribed before me. _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. LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior), Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. BUILDING ELECTRICAL PLUMBING 2 Owner of +. Architect Contractor �.. or Builder { i ~" Legal Lot lf / { Bl. 4 Description Address of . 4, w - 3 ' t MIAMI SHORES VILLAGE, FLORIDA/ 1f DATF4 -I X_ Contractor's License No t( PERMIT N9 1273 Work to be prformed under this Permit • 3 Li lei • • ? 5 f Subdi- vision Value of Project r 1 t Amt. of Permit 2. ' BY AUTHORITY 19 4_x# 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, 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 tho ough knowledge of .-pi� the ordinances and regulations pertaining to the work covered hereby whether shown on thens o dgitwi or, n the statementg/�r spe ns nd that he assumes responsibility for work done by his agents, servants or employees. / f , Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepti g this permit I assume responsibility for all work done by either myself, my agent, servant or employee. c ;`f . 7 -f C ~ UIL DER MIAMI SHORES VILLAGE 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 regula- tions 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 Remarks STATE OF FLORIDA, COUNTY OF DADE. ss. Registered Architect and /or Engineer -,- Name and address of licensed contractor_ Location a d legal descri ' n of lot to on: YY ,,..� Lot_ -7 Block_ ____ t Subdivision L ' k Lam' 't4''t �` 9r _�.....�> -- - ---- ----- - - -- - -- ----- - - - - -- or Street and Number where work is to be done____ State work to Abe one e and purpose,of building (by floors) " % . - Ned Building Remodeling Addition Repairs No. of Stories To be constructed of__AnijaAtbeawKind of foundation t -!: eL. Roof Covering Estimated Total cost of improvements $_______.ie ,04!2:__0 &___— Amount of Permit $ _ C3 ;,�— ______________ Zone cubage required - 4444__— ,_— __ —_ - -_ _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 be 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 or notices as are required by the Act. The undersigned agrees to employ only such subcontractor permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized appeared - -- - -- and who, being by me first duly sworn, upon oath deposes and says that be 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._� Date____ Read, Sworn to and Subscribed before me. Disapproved ____________ (Signed) Date Building Inspector BUILDING INSPECTION DEPARTMENT (over) Date__ 11•sa and for no other purpose. (Signed PLANNING BOARD DATE Member Member Member Disapproved Chairman Member Member - - - - -- — — — -_ -- - - -- - Council Approved - 4444 -4444 __ ____________Date NOTE: A charge of $1 the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper materials and /or workmanship. -- - - - - -- ---------- - - - - -- - - - -- No..r,�__ of the work s h public noti d to be .erf.` ed under tF to administer oaths and take acknowledgments, personally __to me well known, Notary Public, State of Florida My Commission Expires______________ —_ _ _ — ___________ ___.Date .00 will be made for making corrections or changes to this application after approval has been obtained from notice for inspection or faulty LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village.