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467 NE 100 St (6)Street and Number where work is to be done Estimated Total cost of improvements $.54320,00 STATE OF FLORIDA, COUNTY OF DADE. j SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed state,,,ent or we 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 ell rules and regulations of the iltrildi,tg 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 o the work. 24 squares Date..._ ._....__. __.sJlftf1 1.9. 1974_ Owner's Name and Address Mrs. Eula Wilson N 167 _„ S mI N.E. 100th Street Registered Architect and /or Engineer Name and address of licensed contractor Lang Roofing& Tile Co., Inc. 573 N., W. 711st,. Miami,, Fla, 33150 Location and legal description of lot to be built on: Lot Block Subdivision 467 N.E. 100th Street State work to be done and purpose of building (by floors) Complete reroof: Tear off _g2ciatilig roofing,. p 1 -30# felt to sheathing, mop 1 -901b. slate with hot asphalt and install M -3 red shingle tile. and for no other purpose. New Building Remodeling Addition Repairs... No. of Stories To be constructed of Kind of foundation Roof Covering Shingle tile amount of Permit $,. ..12...50 Zone cubage required Plan Cuhage 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 Honda 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 tractors employed by him in tl:c work to be performed under this permit; and will post or cause to be posted for inspection on the s' of t e work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontr t ors, on ork t• be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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, sand that all facts therein by him stated are true. A- Permit No Z0.74) Date.. -il N , . Disapproved Date (Signed) \$ .' Read, Sworn to and Subscribed before me. Notary Public, State of Florida uilding Inspector My Commission Expires ..to me well known, PLANNING BOARD DATE Chairman Member Member Member Member .. ... Member ...._ i. Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after npprecal has been obtained from the Plannin; 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. MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 0 *� 195 ❑ PERMIT N? 15547 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Work to be performed under this Permit Architect Contractor or Builder Legal Lot II C BI. Description Address of Building `1 ,. CONTRACTOR OR BUILDER Subdi- vision Value of 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 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• 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 ,_. t ,. Contractor's License No BY Amt. of Permit $ AUTHORITY 1 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 her,- described. This application is made in compliance and conco•m ty with the Building Ordinance of Miami Shores Village, Florida, and all pro•. isions of the Laws d the State of Florid.: all o d nances of Mi an Shores Village and all rules and regulations of the Building Divi i of :54iami Shores Village -1' 'I ' ;e , o ipl:ed with, whether herein specified or not. A copy of approved plans and specificati, n must be keir' at building durin progress of the work. Owner's Name and Addres Registered 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_ 9 �p. State work to be done and purpose of building (by floors) New Building_ Chairman Member ~>_ Member Council Approved APPLICATION FOR BUILDING PERMIT Remodeling_.. Addition MIAMI SHORES VILLAGE rig Inspector BUILDINE INSPECTION DEPARTMENT Date Amount of No Street. ,19 Repairs_ - - .. No. of Stories. To be constructed of_ . ___ . _. _ _ Kin 71 of f ndation _ Roof Covering Estimated Thtal cost of improvements $__. Zone cubage required_ Distance to next nearest building______ 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 Permit $__ . . _ fc> plan Cubage . Size of Building Lot The uncle signed applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Lbor under the Florida Workmen's Compensation Act, being Section 5966, Coimpled Gen cal Laws of Florida, Pernranen, Supple nent, and has complied with the rrovi :ions thereof, and will require similar compliance from all contractors or subcontractors 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 noti .e or notices as are requir -•d by the Act. The undersigned agrees to employ only such subcontr• ctors, on work to be perform d :rider 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 adrn nister oaths ..nd 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 de.cribed c• nstruction. that h:- 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 j_5 - S _ 4 _ Date ' 1 # 1' ' s Read, Sworn to and Subscribed before me. Disapproved Date___ Notary Public. State of Florida (Signed) My Commission Expires. PLANNING BOARD DATE Member Member . Member _Date Disapproved and for no other purpose. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from t Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspe:•t'on or fa. ity materials and /or workmanship.