Loading...
361 NE 101 St (9)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of roe 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. D ace..._..._... Aug. 20 r ._ _......_._.�._... 19 Ow'ner's Name and Address .... �Qx ......�rcl.X �...11ltl�.) lex:_......__1 NE 101 I�t1 r ?. ..._.._.. Street_..__ R egistered Architect and /or Engineer ,,.,, .,.•••...•.mm..n..^.•o.mu Lnen, Name and address of licensed contractor Garth. al•- -e e.e••• •Go•.• 10 731. 111..7- 11.... ilo ,......211.i i(li Location and legal description of lot to be built on: e of Lot 19 Block 38 Mia Shores Sec One Lot..2Q.,.v�es i;....2....ft 131k..lia.t...21....e.asi�u rv ision .. ....._.•.__..� ._ Street and Number where work is to be done 3 NB101s:.5t.,. State wojA to be one and urpose of build (by floors). ...» o !Liu. , 5' ' i.-.4 o -e ..r and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories • _ To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S 4 so O 0 Amount of Permit s.00 OD .._ 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 . s an employer of labor under the Florida %Vorkrnen•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 '.spection on the site of •the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s• ntractors, n work to be performed under this permit. as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 . COUNTY OF DADE. Building Inspector Remarks... (Signed) Bcfore 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 fads therein by him stated are true.. Permit No.._ 4 q . n Date 6 s 'g ®' D I Read, Sworn to and Subscribed before me. Disapproved 1 Date.._ — (Signed) Notary Public, State of Florida My Commiuion Expires PLANNING BOARD DATE . Chairman Member Member Member — Member.. .. _....._......_..._._...._....._ Member __.._._..._... ..... Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained froth the Planning Hoard. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and /or workmanship. terial is guaranteed to be as specified. All work to be completed in a workmanlike r according to standard practices. Any alteration or deviation from above specifica- wolving extra costs will be executed only upon written orders, and will become an large over and above the estimate. All agreements contingent upon strikes, accidents is beyond our control. Owner to carry fire, tornado and other necessary insurance. kers are fully covered by Workmen's Compensation Insurance. rptas ur of Proposal —The above prices, specifications iditions are satisfactory and are hereby accepted. You are authorized e work as specified. Payment will be made as outlined above. Acceptance Authorized Signature / /7 Note: This proposal maybe withdrawn by =us if not accepted within FORM 118 -3 COPYRIGHT 1960 - Available from /v5 /Inc., Groton, Mass. 01450 days Signature Signature 1 11601300E1.1 Page No. of Pages • • PROPOSAL SUBMITTED TO PHONE DATE STREET JOB NAME CITY, STATE AND ZIP CODE JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: . ail; P U rop08P hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: � // dollars ($ ) tent to be made as follows: .. - � ,. /� , ..�.. ,: terial is guaranteed to be as specified. All work to be completed in a workmanlike r according to standard practices. Any alteration or deviation from above specifica- wolving extra costs will be executed only upon written orders, and will become an large over and above the estimate. All agreements contingent upon strikes, accidents is beyond our control. Owner to carry fire, tornado and other necessary insurance. kers are fully covered by Workmen's Compensation Insurance. rptas ur of Proposal —The above prices, specifications iditions are satisfactory and are hereby accepted. You are authorized e work as specified. Payment will be made as outlined above. Acceptance Authorized Signature / /7 Note: This proposal maybe withdrawn by =us if not accepted within FORM 118 -3 COPYRIGHT 1960 - Available from /v5 /Inc., Groton, Mass. 01450 days Signature Signature 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. PA . Date fJ /y , 19 6 v Owner's Name and Address / e`�/n2fe ` p �'�' No 361 Street___ a E. le Aa /, Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot_____ Block Subdivision E. /far r' Street and Number where work is to be done 3 4_/ /Y State work to be done and purpose of building (by floors)_ C% a8_L 4 fit' gb 4' �Q 6° 'e4 and for no other purpose. MIAMI SHORES VILLAGE Date BUILDING INSPECTION DEPARTMENT Date C Read, Sworn to and Subscribed before me. Notary Public, State of Florida New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ I ss nr ' 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_ 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 u ontractors, on work to be pe rm d under this permit, as are licensed by Miami Shores Village. Remarks (Signe STATE OF FLORIDA, COUNTY OF DADE. j 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.___Z,M__ Disapproved i t (Signed) Building Inspector] My Commission Expires NING 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.