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487 NE 100 St (4)- 1 f MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp' n 1C Permit No. ( f O,s - [9 S 2 Name Address t i a - 2- Nil Company Phone # Inspection Date (—)7—I 101 Approved Correction ❑ Re- Insp'n Fee ❑ Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date % 10 Type Insp'n J rO f� Permit No. OP 03- ` n 15(0• Name Address /469 NE, 10034- Company 012-0 N t Phone # Inspection Date Re- Insp'n Fee ❑ e)/- 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 . .. 0 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 d 1_..t 4' / v 0 State work to be done and urpose building - ( - by fl rs ) J � I" r2 `. Ey1A.N3 7 Date Street f.� 1.U4 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 $�__f,t_ 649 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 5968, 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. Remarks ( Signed/ - �' y l I ) /t ,= •xa_ - �d. - � STATE OF FLORIDA, i 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 No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) Building 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. el pp A s •••S- ( rj•e • ,••• / 6' o )467 tJJ v \ U3/ CfP4s3 BUILDING ELECTRICAL PLUMBING ROOFING Owner ot-- t Building . -/ ti ° , t Architect Contractor or Builder ,Ei/ 'r• Legal Lot Description Address of /, 7 �f Building In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this permit I assume responsibility for OtNTRACTOR OR IS MIAMI SHORES VILLAGE. FLORIDA 0 PERMIT N? 4928 0 Work to be performed under this Permit Bl Signed r L r , c... 1E Subdi- vision Value of Project $ DA Contract` 's License No. 32' 2/ 195 1 3 / Amount of ,� 1 �� 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 knowled " of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statement or specification aril th he assumes responsibility for work done by his agents, servants or employees. INSPECTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted/to the proper authorities of Miami Shores Village. In ac- all work done by either, myself, my agent, servant or employee. AUTHORITY u Np . STREET "' PART OF LOT TYPE Or , nocx SUBDIVISION FOR , ._ .....7 I P _ • FRONT DEPTH HEIGHT STORIES TYPE Or CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PEB \fIT FEE ro �� � / �/ j{p J J� � :v`. cou i A. Frame, Tile �'�. y� � �! %.'� 'ryRwt'r�� # Con', ete, Stucco � ( t w ,Q f �y � Q. �.. - X34.4- ' • Reside I ce, Ants., Stores r - � � of l * �e ,,...0 �� 0 BUILDING PERMIT • Owner of Building+. .. 4r: l Miami Shores Village, Florida, I j f f; 4 4 „....„ MIAMI SHORES VILLAGE OFFICE OF BU1- Q414.trINSPECy��p.RRR ,/ / °� � ��' 193 °' ` N9 . 239 Architect. 7 Contractor or Builder.... �....,'L';,,.0-Zj. posted o n Tax Roll PROPOSED LOCATION DESCRIPTION OF BUILDING This permit is hereby issued to -- __ if 1 ,,, ;� ` ' To__l' 3 . _ ' � ~ the building above described, as per application, P1ais and Specifications h rettifore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the applicatio t are true and that the constructigfr complies strictly with the plans and specifications submitted, and in accordance and compliance with th building laws of the State of Florida a I1d with the building ordinances and zoning laws of Miami Shores Village, and rules and regulatioli9a`of the building department o nil S' res Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and atibn upon any change in the plans and specifications .uthorized by the building inspector. i In consideration of the issuance to me of this, building applicatio and plans and specifications thereof heretofor State o lorida, all the building ordinances and zoning • s of Mia i Shores Village. , Dated 1” ki .. 1 . : oi .... , 19. It I hereby agree to do the ro ti y g p pes'�' construction in strict conformity with the me submitted, and in compliance with all provisions of all building laws of the of Miami Shores Village and all rules and regulations of the building department RUILDINO INSPECTOR NO. Motors Receptacles STREET PART OF LOT LOT BL'K TOWN, ADDITIO I R SUBDIVISION 4 / 8 11t i l 77,4, i + t F°� � 4 - Outlets Motors Receptacles Generators Stoves Water Heaters' Signs Billboards Other App "ratus: : -k, te r ° Permit Fee .e • j�. : !° ELECTRICAL PERMIT N. B. —This Permit must be on display on during a cons uct'oif: . .. Owner of Buildin .. rr ! ..!`:.. rl` Contactor or Electrician., thorized by this Department. • Town of Miami Shor Dated STRANGE PRINTING CO.. MIAMI, FLA. the premises s , 192 Town of Miami Shores OFFICE OF ELECTRICAL DEPARTMENT ..,192 Miami Shores, Florida, PROPOSED LOCATION DESCRIPTION OF WORK NUMBER OF This Permit is granted upon the express condition that all facts stated in the Application are true and that tlie=c-onstruction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, r upon any change in the plans and specifications unau- ' '= ite�'! 21stA0E4folica1 Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department of the NI 178