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444 NE 100 St (6)Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of toe 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..._..._e_ .. /_, _..._._..._._........ ..... , 19L / Owner's Name and Address .... / .1" ...een Q . ... No,.. y`.!.. ._. Street_27/ E .. 1_OO. f- Registered Architect and /or Engineer /+ Name and address of licensed contractor l� A / 9 s �'v Location and legal description of lot to be built on: /� Lot a w'' S Block g 9 Subdivision � /4�1' .?_!- °l�I . 'e4._ PA Street and Number where work is to be done 4"/ N . ,e2/..0 1.Qa. __ . . _...._..� _ _ — State work to be done and purpose of building (by floors) ,/^!.$2 // ••-f f Q__ _4_....119..6/ I t ././Z.C.._,. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Roof Covering p ,p pa Estimated Total cost of improvements $ 47-5 '' �` Amount of Permit $..42 X 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 under applicant for this building perrnit does hereby certify that he understands and accepts his obligations as nn employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Perrnxncnt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contract • s 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 • he site of .the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s ; • tract,] . work to be , formed under this perrnit, 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 Date 7- 1 Read, Sworn to and Subscribed before me. Date Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD _.._......DATE Chairman Member Member .. ... Member ..... Council Approved Date Disapproved 15'11G D1 Member Member _ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the I'Iannir.g Board. A re- m.pcction fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice nratcrials anti /or workmanship. has hero obtained fmttt for inspection or faulty J Owner's Name and Address 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. /Fv0A/'L a 4 4' Registered Architect and /or Engineer , / _ W= J/ sO Name and address of licensed contractor /Ye& Location and legal description of lot to be built on: Lot________ Block___—_ ,___ Subdivision / C L Street and Number where work is to be done `ice /" 5 Z � ` c /�® r // �- State o jV do and urpose of building (by floors) C . 114 - Z QF / L e z /4 Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Repairs No. of Stories_ Date-- - - - - -- —-- - -____ 19— _ No.__ 5 Street /°0 L __and for no other purpose. New Building Remodeling _________ Addition To be constructed of Kind of foundation Roof Covering__ ee do. Estimated Total cost of improvements $_ —� —_— ___,Amount of Permit $_ ___ Zone cubage required____ _—Plan Cubage Distance to next nearest building _____— ______ 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 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) _124/ " Z4/ STATE OF FLORIDA, ` .4-7,061 /7 /4 SS se. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Disapproved __________________ Date Notary Public, State of Florida (Signed) 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. BUILDING rLECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of In consideration of pertaining thereto and in In acceptin ,'this permit I Work to be performed under this Permit Lot i dF 3 -4— — Fo Bl. PERMIT _ N? 5236 il Building I This permit is granted to the contractor or b . er 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 changed without,authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assuumeethe responsibility for`,a, thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drangs or,in .the statements: or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. # » " y► Signed. ;'� 'aw.rf - .. ECTOR the issuance to me of this permit I agree to perform the wgrk covered hereunder in compliance with all ordinances and regulations . strict conformity with the lans, drawings, statements or ns submitted to the proper authorkr:A Miami Sho�s,Vjll ge. ass' e for all work done by either myself, my agent, servant or employee. ' trr =- CONTRA IAMI SHORES VILLAGE, FLORIDA BY DATE d7/ ° 6/ r v isi o n vision Value of Project Amt. of Permit By �'`! -1 AUTHORITY 1947_ Contractor's License No. OWNER'S NAME /,e'.n% 41. CAPL,9/y PRESENT ADDRESS li NE: 400 . - LICENSE NO. PHONE NO. • JOB LOCATION (ST. OR AVE.) 441 "45‘ /1/E . /OD SP. ,y, L OT BLOCK SUBDIVISION GENERAL CONTRACTOR AM ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 34 DATE 41��2 PERMIT FEE $ JV / O0 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST S / ' fOO ° � DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: EhI-,5 - 0 ' , /DA E -9 7 NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUC IO REPAIRS DESCRIPTION ALTERATION DESCRIPTION ' Y 4 z ,3� /� i FJ jaES .fND ,4E�,Q OFdorAf ,ezOPfeT /ES ' SEE L'.QAIroy X/ /� ADDITION ADDIION irits.V.407' SUBMITTED TO D APPROVED 4/#7 REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY I TO BUILDING 'PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE BEAMS & LINTELS $ SEPTIC TANK $ $ SEWER FRAMING $ $ SOLAR HEATER $ $ GAS $ $ $ FINAL INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT CLEAN -UP ROUGHING CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK $ $ SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING 1 GAS H. W. HEATER CONN. ;2EWER RANGE CONN. SEPTIC TANK SOLAR HEATER IFIVEURES & FINAL FIXTURES CONTRACTOR PHONE PERMIT NO, 1 DATE FEE $ NEW BLDG. 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN. RANGE CONN. IFIVEURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS f i APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING Owner of Building' ON 'AC IAMI SHORES VILLAGE, FLORIDA DATE 1 PERMIT N? 5236 Work to be performed under this Permit 0 Lot W 1. g Architect Contractor or Builder Legal Description l Address of ,, [, �/ alue of Amt. of Building /.f1./ 11 T i 4 / tip l {f Project /` (^ Q 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 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 changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibilit for thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra ' _ _ or in,,. • stat yen or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Bl. Q Signed• 61 „-rfar v isi o n vision Contractor's License No. In consideration of the issuance to me of this permit I agree to perform the work cov•r nder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificatio . submitted to the proper authorities of Miami Shores Village. In acceptin'this:iennit I assut he responsibility, for all work done by either myself, my agent, s rvant or employee. BY By AUTHORITY 194-!