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379 NE 100 St (6)MIAMI SHORES VILLAGE Owner's Name and Address . .. R Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be Lot � ,Xt� Block BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uindc for the approval of the detailed statement ur ere plans and specifications herewith submitted for the build • inc 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. Building Inspector U La LiA bOI_, No.3 ?:L ..... StreetF. J D_" t on: / 3 £6 v pp subdivision fy� `/441l �p ... -ems. .......... Street and Number where work is to be done. 391 .. & �* _....Loci . Tli . State work to be done and purpose of building (by floors) 1 14/7 Ncw Building Remodeling Addition Repairs; No. of Stories _ Kind of foundation.... Roof Covering To be constructed of Estimated Total cost of improvements Amount of Permit $. . 2t oo 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 unricrsigncd 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 rovisions 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 arc required by the Act. The undersigned agrees to employ only such st4contractojs, on work t• •jperformed under this perrnit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. i ss. Before me, the undersigned authority, a notary public, duly authorizcd 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 fads therein by him stated are true.. �/ 1 L Permit No.._. .. `� ... Date .' "....._._ Read, Sworn to and Subscribed before me. Disapproved •4. \ Date (Signed) Notary Public, State of Florida My Commission Expires and for no other purpose. to me well known, 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 I'Lumio hoard. A rc•in'pectiun fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. 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. Date..._ ._ _.. ._._June _21 - ...- .__........ ,19.. 78 H. Romer 379 N E 100 St . Street__ M . No . Owner's Name and Address .�._.. -._ Registered Architect and /or Engineer t I ,,,,,,,., Name and address of licensed contractor Orkin Exterminating Co. 1960 N.W. 27 Avenue Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done SAME State work to be done and purpose of building (by floors)....._ _. Nylon. Ten Fusigatlen V?;;t13aj e 1 &.2...hr.S.. ..... 3k.00.Q...i~.u...ft..- 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 $ Amount of Permit S. 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. Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him m 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on workcybe performed under this pennit, as are licensed by Miami Shores Village. Remarks ( SigneH) . -- ,?•��?!�"�'d �` Permit No.. Date ° L —" Chairman Member Member PL NINC BOARD DATE Member Member Member 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. Read, Sworn to and Subscribed before me. Disapproved Date. (Signed) ' - Building Inspector My Commission Expires Notary Public, State of Florida 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 fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspectitm or faulty materials and /or workmanship. • - ORKIN EXTEF=ING COTTANY, INC. 0 19601, 27 -venue Fl. 33125 FillaGATIOr .140TIFELTI(.. LOCATION OF STRUCTURE ••• •••••••••■■•■•■••■•• • O TM 7 S NAME AND ADDRESS TYPE ,OF STRUCTURE Oae utoy 1.1113ZR OF CITEIC TET(AFPri.OXIWiTE) AL 2 ii71-.'RO:r.D.ATE QUANTITY OF FUr.T.V SULFUR.7.1 FLUORIDE ATE 1. ii R012L.T TW,,P OF RIILISE Cr LENGHT OF FT.31.7TG.LTIC1T PE.RIOD 1.6-24 Hours LT. TO NEAREST STRUCTURE 10 0=Lt. 10 FT 0 UNDER 10 FT. CERTIFIED FUIHGATION OPERATOR X OR :3PECIAL FUKIG1LTION .0ENTIFICATION. 71,.RD .HOLDER KING : Dept corm. sa...• "Emma,. • TYLCi TENT ■••••11Ver •■•• •••••■■■•••••••■••■••■•• •••■•••••••■•••••••••■••••• TDLEPT:0N DA7: 633 •421 1,Y17: ETE m "7.58 IN STRICT IIDETENCE TO THE R2r: IAEL AIJD J=IA. BCOD CF HE4..LTH REG'ILATIO15. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. 268 Date /8/ , 19 Mr. Harry Romer — 379 N.E. 100 St. Miami Shores Owner's Name and Address Orkin Co. - Inc. 1 ga "N;W:27 Are Regiitered Architect and/or Engineer.. 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 379 N,E, 100 St, Miami Shores Nylon Tent Fumigation — Vikane 18 hours 3°# $324.00 State work to be done and purpose of building (by floors). and for no other purpose. New Building Remodeling Addition Repairs No. of Stories T� be constructed of Kind of foun p Covering ..... Estimated Total cost of improvements $ 11 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 fot said building. All notices with reference to the building and its construction may be sent to__ The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an emptiver of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent 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. 1 f Remarks (Signed) STATE OF FLORIDA, ss. COUNTY OF DADE. 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. (47-1 ez Permit No Date_ Read, Sworn to and Subscribed before me. Disapproved (Signed) Leg • CA—L— Notary Public, State of Florida Da Building Inspec r My Commission Expires__ PLANNING BOARD. DATE ChaInnan 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 51.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA 2- Date 19 a ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 9670 Contractor's License No. 7 71 ROOFING ❑ C ►T,.t 0 1 , 11 Work to be performed under this Permit Owner of Building 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 erttployeees. / , Signed • It? ( ''�' 4 t2N SPECTOR) BY In consideration of the issuance to me of this permit I agree to rform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, st ements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done b either, •myself, my agent, servant or employee. i Architect or Builder Contractor DE- 1c-, - t CIO T f‘414 1 7 1' 1 or Builder C+ Legal Lat Description 11 Bl Address of 3.. Building 4 CONTRACTOR or BUILDER Subdi- vision Sq. Ft. Value of ` ` / II Amount of Project $ ? Permit $ .11 BY AUTHORITY 4 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ti Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA ❑ DATE / - ❑ PERMIT N° 3984 Contractor's License No n ' / Work to be performed under this Permit Bl 195 r' Subdi- vision Value of I I Amount of / • Project $ I Permit $ This permit is granted to the contractor or builder named above to construc 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 specificatibps and that he assumes responsibility for work done by his agents, servants or employees. / ` r Signed. ( -. ....... „. 13Y INSPECTOR c -� In consideration of the issuance to me pf this permit I agree to perform the work cover hereunder in compllance 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 ac- cepting is t I assume responsibility for all work done by either, myself, my agent, servant or employee. ' .r i )f CONTRACTOR OR BUILDER BY AUTHORITY ems. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 ' 1/... e Date N Street Registered Architect and/or Engineer Name and address of licensed contractor L Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) i 6 (7 v and for no other purpose. New Building ... Remodeling 11° Addition Repairs No. of Stories To be constructed of. ..rd..c. ....Kind of foundation _41)401 e ye Roof Covering Estimated Total cost of improvements $ SaiOD Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 sub ontractors, on work to be p rf rmed under this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. f 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 stated are true. a Permit No Disapproved (Signed) Date Or 0 2 .4, Building Insp "1 to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 51.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 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 •rn compliance and contormity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws cf the State.. of I'lurida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shore- Village shall lie 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 Engineer Name :•nd address of licensed contractor. �1i - Location and legal description of lot to be built on: Lot_ Block._. ___.. Subdivision Street and Number where work is to be done G 4 State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT' APPLICATION FOR BUILDING PERMIT - -_ - -- tr it_„ PLANNING BOARD DATE Chairman Member ._ __ ..._..._ .. Member ____ __ _ _ Member Member _- Member Council Approved .Date Disapproved _. Date 6 ° Q 7 ................. , 19 No Street_ and for no other purpose. New Building Remodeling. ____ _ ._. Addition____ _:_ _._ __._. __._ Repairs.. _ ._. _. . _. No. of Stories To be constructed of. Kind of foundation.. Roof Covering__ -.. ..... - - Estimated "...•)tal cost of improvements $__ .. __ _ 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 _ - hereby submit all the plans and specifications for said building. All notices with reference to the building and its constructioi` 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 4 he Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and h s compl:ed with the prov'cions thereof, and will require similar comnliance from all contractors or sub - contractors employed by hint in the wo k to be p' rf rmed under this permit; and will post or cause to be posted for inspec on on the site of the work such blic notice or •iotiies as are requir d by the Act. The uiadersigncd agrees to employ only such subc9ntr,�tors, on work to be perfornk =. '.odor this permit as are hcensed by Miami Shores \ illage. Remarks-_ (Signed) me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally p p- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the - of th abov. de,e ibed «istruction. that hr has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. �-q/ Permit No _ ... Date__ ____.1_ -a•. ` :_.. s/ Read, Sworn to and Subscribed before me. Disapproved __. ate. - Notary Public. State of Florida (Signed) -•-- - -- . -• % 'v _ ' Building inspector My Com:nission Expires. .... ...... ............ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has ben obtained from the Planring Board. A re- inspection fee of $1.00 will be charged when such re- inspection is m.:.ie necessary by improper notice for inspection or faulty materials and /or workmanship. 7a ,.� S e)::,/,(5 c�,q i' 7' r� 1 Nee // « 1 STATE OF FLORIDA) ss COUNTY OF DADE ) A F F I D A V I T Gilbert Davies of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amend- ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Building; Code of Miami Shores Village, he desires to build a single family residence on Lot E421 and 22 Block 39 of Miami Shores Sect. #1 Subdivision, that he is the owner of said property, and will be the owner of said residence , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: - 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. *It set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he teas read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner - builder as herein provided, is limited to but one owner - builder permit each 2 years, and where an owner- builder has once exercised the privilege herein conferred no second application for onner- builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not; qieAl V`04, OWNER SUBSCRIBED VD SWORN TO BEFORE ME this day of 19 NOTIRY PUBLIC A. D•, tiMirfaUMWMikl;f0;iWil',44;;Wkwoi3iktuifAAWWWWWarNMIMMIM\ ., j ,... ir . ....... .....�,.....: ;r.,al,..,ai a ii WWarN '•�r a MI �'... \ o�i; co' 4a�� ;'eo�m;no��rce�a�►a�tireo$a��; t 1 s 1 THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A Penalty is imposed for failure to keep this license exhibited at your establishment or place of business TRIPLICATE VILLAGE LICENSE No 3742 This License Expires In consideration of the sum of * *a* **TW ETT FIVE ..ND 140!100 * ***a Paid to Miami Shores Village, Dade County, State of Florida, GIL81�ftT D► _Address 868 N. E. 116th Street is hereby licensed to engage in or operate the business of Owner au.ilder during construction of ons relgidauae only at 379 N. B. 100th Street For the period beginning April 13 1950 and ending 6 months from date subject. - the Provisions of all ordinances. (SEAL) Date Issaed, .ayu1 13, 1950 ) By 6 •ont!:s !rota data Dollars $ 25 MIAMI SHORES VILLAGE, FLORIDA VILLAGE MANAGER a THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER . ....r�ii� irk r `• s ti r •�°'�r�"��� ... •.....�� •t'� ...•�r•.....••!.. Ir•....