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166 NE 101 St (2)BUILDING ❑, ELECTRICAL PLUMBING ❑ ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 14496 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bi. Description Address of Building CONTRACTOR OR BUILDER Subdi- vision Value of Project $ DATE - 195 Contractor's License No Amt. of Permit $ 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 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 responsibility for work done by his agents, servants or employees. Signed • i BY r �' 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 regulations 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 ;UILDING LECTRICAL 'LUMBING OOFING MIAMI SHORES ❑ PERMIT N° 0 ❑ Work to be )caner of uilding rchitect ontractor —� - f - Builder =gal Lot escription 7 II B•. VILLAGE 65 ` ! Subdi- vision FLORIDA performed under DATE 195 `,rdontrcictor s, this Permit - S j°f7 , Gl .:. 4 ddress of ^ � �' ,��, , � �' �� � Value of gilding > f 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 :refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans awings, 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations rtaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specif ions and that he assumes responsibility for work ne by his agents, servants or employees. -,- -- r :'�/,7 , INSPECTOR CONTRACTOR OR BUILDER Signed. Amount of :+ Permit $ BY • In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• iting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 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. Owner's Name and Address Registered Architect and /or Engin 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 7‘4 ' 7 State work to be done and purpose of building (by floors) Q f STATE OF FLORIDA, COUNTY OF DADE. Disapproved (Signed) A re- inspection fee of $1.00 will be materials and /or workmanship. SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT is Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making the Planning Board. Date No /G e New Building Remodeling Addition Repairs To be constructed of Kind of foundation '2 *29 Roof • Covering Estimated Total cost of improvements $ No. of Stories Amount of Permit $ Zone cubage required _Plan Cubage ,� p O Distance to next nearest building Size of Building Lot ZJ$ !!- 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 work to be perfor under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Street d� ,19 t 5r 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 therein by him stated are true. Permit No ./ Date Read, Sworn to and Subscribed before me. lbate' ilding Inspector PLANNING BOARD DATE Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date corrections or changes to this application after approval has been obtained from charged when such re- inspection is made necessary by improper notice for inspection or faulty / 1•// •- a i 0 Ctr apes P47 ecnerete I • 1 (72 e, • /0/ JY "Yitom;... 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 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. Owner's Name and Address .......... No. ./4‘ 6 Street e_- Registered Architect and /or Engineer Name and address of licensed contractor B" N E'er. Date Location and legal description of lot to be built n: Lot 2— Block Subdivision / , r? "14 Li v Street and Number where work is to be done / e State work to be done and purpose of building (by floors) .0 (-a S. ti - ° f and for no other purpose. New Building Remodeling Addition � Repairs No. of Stories To be constructed of Kind of foundation_�e_t _t_e: 'G -Roof Covering (1, t 9 n 5 CAP Estimated Total cost of improvements $ So-0 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 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 work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) X 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 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 ed Permit No'_. Date / ! !1 Read, Sworn to and Subscribed before me. Disapproved (Signed) .._ Date. to me well known, Notary Public, State of Florida Bui ding 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. OM4Z 4 c--.02C $ -E 04 6.1 .— IL(0 14 E - g 4 E ' Iz 7 o k 1 I l 4, 441, x, 75 I�-Z AI.0 c r oe S L Ig E dJ / a 1 o, 9