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390 NE 101 St (17)STATE OF FLORIDA, COUNTY OF DADE. Permit No Disapproved (Signed) } ss. 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. Owner's Name and Address. 177 G / L Registered Architect and /or Engineer Name and address of licensed contractor 5' ti Location and legal description of lot to be built on: / Lot Block Subdivision. and Number where work is to be done State work to be done and purpose of building (by, ) ! % . New Building Remodeling ` Addit' " Date i� To be constructed of Kind of foundation Roof Covering' o- Estimated Total cost of improvements $ 2.6 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 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. Ic• . l / - /, / . / I Remarks (Signed). G 4 f 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 s are true. Date Z 0 Date Repairs No • -' £. Street. !'._ `' ';l to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida No. of dries ,19 Bui . mg nspector Commission Expires ANNING 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. 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. New Building Remodeling and who, bein g of the above therein by him Permit No Disapproved (Signed) D BUILDING INSPECTION DEPARTMENT Building In MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Owner's Name and Address ,4 <S' 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 State work to be done and purpose of building (by floors) Estimated Total cost of improvements $ 4 el t ec or L e- -r 4 e r - h sB Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Date G , 19L 5 �1. No 3 '5-'4 . 5 4 Street_71 -S l �'' l ' 2 .- 7 x.5 , ?y and for no other purpose. Amount of Permit $_.._1.O • �2c 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, 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 t9. be perfor ed nder this Y ennit, as are licensed by Miami Shores Village. p / ' Ce" c? 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, by me first duly sworn, upon oath deposes and says that he is the d escribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts stated are true. g - s 3 7 Date ' 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL ❑ PLUMBING PERMIT N? 8937 ❑ ROOFING ❑ Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA "4 Work to be performed under this Permit DATE t• Contractor's License No _ Signed • `" eY 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. 195 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. BY AUTHORITY 17 s r n Lot Bl Subdi- vision If , <:: +' ` Sq. Ft Amt. of Permit $ Value of Project $ BUILDING ❑ ELECTRICAL ❑ PLUMBING PERMIT N? 8937 ❑ ROOFING ❑ Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA "4 Work to be performed under this Permit DATE t• Contractor's License No _ Signed • `" eY 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. 195 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. BY AUTHORITY 17 Permit No 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 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 work. �e� 0Cam° l �� v i. 4/-) Owner's Name and Address.... No Street/ 7 - Registered Architect and /or Engineer Employing Electrician's Name Street and Number where work is to be performed —No , .-5 Amount of Permit $ ef STATE OF FLORIDA, , l COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date � Ss. My Commission Expires No o Street Location and Legal Description Lot Block Subdivision Street , 0 State work to be performed and purpose of building (By Floors) New Building Remodeling 1l Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. 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.a c. ctors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted foriiispection on the site of the work such public notice or...tices as are required by the Act. The undersigned agrees to employ only such sub•cpntractors, on ork to be performe• under this per . it, a are licensed by Miami Shores Village. Master Notary Public, State of Florida 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES N O. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H EATER TOTAL CONTR. LIST 1� CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK �J / 75 Permit No 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 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 work. �e� 0Cam° l �� v i. 4/-) Owner's Name and Address.... No Street/ 7 - Registered Architect and /or Engineer Employing Electrician's Name Street and Number where work is to be performed —No , .-5 Amount of Permit $ ef STATE OF FLORIDA, , l COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date � Ss. My Commission Expires No o Street Location and Legal Description Lot Block Subdivision Street , 0 State work to be performed and purpose of building (By Floors) New Building Remodeling 1l Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. 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.a c. ctors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted foriiispection on the site of the work such public notice or...tices as are required by the Act. The undersigned agrees to employ only such sub•cpntractors, on ork to be performe• under this per . it, a are licensed by Miami Shores Village. Master Notary Public, State of Florida 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.