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489 NE 101 St (14)Owner's Name and Address. ‘•- � r Registered Architect and /or Engineer._ - Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivisio Street and Number where work is to be done _______. State wcyk to be do asid pu7� se of building (by floors)... STATE OF FLORIDA, COUNTY OF DADE. 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. ate No Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof vering Estimated Total cost of improvements $ Amount of Permit $t 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all co • ac brs or sub -.• - ctors employed by him in the work to be performed under this permit; and will post or cause to be posted for ' ..- r ion on the the .rk such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such s .contr ctors, •n to be erformed(i under this pennit, 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 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 a true. Permit No stated Date.. __V/ "— 3 Read, Sworn to and Subscribed before me. Disapproved (Signed) _ ilding Inspector My Commission Expires PLANNING BOARD DATE Chainnan 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Notary Public, State of Florida BUILDING ❑ ELECTRICAL PLUMBING ❑ PERMIT N9 4177 Contractor's - L ) icense No. ' `' ROOFING ❑ Lai Work to be performed under this Permit_ Owner of Building f� Architect Contractor or Builder Legal Description Address of Building Lot / MIAMI SHORES VILLAGE, FLORIDA Bl Value of l i Amount of `w Project $_ 11 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 applica- tion 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 Issumes respon- sibility for work done by his agents, servants or employees. °/ 7 / .1' ' t ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinanc s -_ regulations pertainm - thereto and in strict c nformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac. is permil I assume re s s ponsibility ,:for all work c ne by either, myself, my agent, servant or employee. �-: CONTRACTOR OR UILDER BY DATE. 19 Subdi- vision AUTHORITY ABSOT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot V PERMIT IT? 12910 I 11 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit BL "1 Subdi- vision Value of Project t 1 4 This permit is ranted 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 sucheordinances• 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 assum_ the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawin s or in the statements;or specifications and that lre, assumes responsibili for work done by his agents, servants or employees. $ Signed• 0 ,. BY INS CTOR,j In consideration of the issuance to me of this permit I agree to peiTdMl'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 thi§,.permit I assupn responsibility for all work done by either, m ,g elf, m a;gnt servant or employee. DATE Amt. of Permit $ Contractor's License No 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. � p eneea Date Owner's Name and Address__ a `___ / _Z___ 4 �___________________ No. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Street / C Notary Public, State of Florida Registered Architect and /or Engineer Name and address of licensed contractor' - '�� :1_`_ ' 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) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fou dati Roof Covering Estimated Total cost of improvements $ Wes. 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 th- ..rk such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub , , • tractors, work to . erfor this permit, as are licensed by Miami Shores Village. Remarks ( Signed) . _ ' '�� - _ _ 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. 3 Permit No. id 9/ Date 3 `//` Read, Sworn to and Subscribed before me. Disapproved ` Date (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. 19 Our P. O. Date Sold y Delivery Desired Sold By Ship From QUANTITY COLOR DESCRIPTION 'J l t MODERN Precasting Construction Co. 2150 WEST THIRD AVENUE • PHONE 88 -5201 POST OFFICE BOX 456 • HIALEAH, FLORIDA SOLD TO ADDRESS SHIP TO AT Engineer's` Signature Sale Order No. Credit Customer No. Via: F. O. B. Expect to Ship Original PINK copy to MIAMI office. Blue copy to customer. White copy to branch offi file. irerms ❑ Prepaid ❑ Collect The products ordered in this contract are to be custom -built to fit customer's requirements, and this order therefore is NOT CANCELLABLE. Order is subject to credit and.installation approval at seller's home office. No statement, representation or agreement, written or verbal, not appearing upon the face of this contract is binding or acceptable. Seller reserves title to the articles covered by this contract until full payment is made, and the same shall remain and be considered for all purposes as personal prop- erty and not attached to or becoming part of the realty, regardless of the method or manner of installing the same in or upon the property or improvements of customer. Seller expressly reserves all contractor's, mechanic's and materialmen's liens which Deposit may be asserted under any provision of law to secure payment of the contract price and may, at seller's option, assert and fix the same as liens upon the real property on Balance due on installation $ which installation is made. In the event payment is enforced through attorneys or by suit or in bankruptcy or probate proceedings, seller may recover reasonable attorney's fees and costs of court. All sums not paid as due shall bear interest at the maximum legal rate. This contract is binding upon seller only upon acceptance by an authorized executive of the company at the home office. All agree- ments are subject to prior sale, government regulations and requirements, strikes and other factors beyond seller's control which would prevent or delay delivery. The products sold hereby are warranted for 90 days from date of delivery against defects in material and workmanship. Where in- stallation is made by seller, defective materials and parts will be repaired or replaced at seller's expense. Where installation is made by others, seller's responsibility shall be limited to repair or replacement of defective parts. In the event of default by purchaser suit hereon may be prosecuted at MIAMI, FLA. The above named parties, other than company, shall supply necessary survey or corner stakes to properly locate fence. The company assumes no liability for property infringement. Net price on installation $ Tax Total Customer's Signature