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553 NE 101 St (6)11 1 1 1 1 1 1 1 1 1 1 1 1 11 1 WINDOWS 1 1 1 1 1 1 1 1 1 1 1 1 * M I A M I S H O R E S * MIAMI SHORES i *W I N D O W S* Village of Miami Shore JOB ! -) n t ADDRESS 3 • INSPECTION TIME READY REMARKS y 3825 INSPECTOR DATE 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 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 the work. Owner's Name and Address Registered Architect and/or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Street and Number where work is to be done Permit No. Disapproved (Signed) Esc° S o Lv4 J !72e 0 GU4 5S N /D /' `la leS Lot E .Z J c °� ! Block 14 Subdivision i fitly F` m Cl 14,e./ j, ,1,W /7 //ae 5S .� /11 /O / State work to be done and purpose of building (by floors), state exterior colors (submit samples) / el ' i ' a c e._ JALovs y � o "S � / ?>6 -5 L �..I i? -S/o 4'/ a s Remarks (Signed) '[ Date /' /O 9 Read, Sworn to and Subscribed before me. 7s y -Og2 7 Date 3' / 198' No. 5.5- 3 "' Street J 0 / S �- STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State of Florida /mss o.-.1 5 and for no other purpose. New Building Remodeling Addition Repairs Y No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 90 0 Amount of Permit $ °2 °2' J O 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 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 obligatons 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. 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. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement or we plans and specifications herewith submitted for the build in 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. MIAMI SHORES VILLAGE / Date ... ,._. e AI 0,1,e 4 Street-4147. Owner's Name and Address . �1.l 367e yz. V47 s — No., .`S 3 . . / 0J.......ss "- Registered Architect and /or EpgirQer ,.,., ,., •••.,•• ,,,,,,,, ,,,,,•.• „,,,,, -„ Name and address of licensed contractor — ' ., Location and legal description of lot to be built on: /6 /fife. / SA Lott 15' Block..,.. , Subdivision.. .?10.. ?,Cle..d 4. o C /1 65 _.... e,- . -7 ci 094,7 6 Street and Number where work is to be done State work to be done and purpose of building (by floors) 'P_a /4.c.4'r T2'Gtll 4 .....�J�c _ 4/i? .........r.. .e/ e - '��- / h � �'cr �s., r� ` _` ....,, � -P ._ ..... do . ' - ws mil �Qo ",..... /e. ee.,. / ...��P a� ._. �lf-.n 4 -' ( - ) ""el: ‘ ,/e4 1 -3 and for no other purpose. New Building Remodeling Addition Repairi A ... No. of Stories../ To be constructed of Kind of foundation '2_9 Estimated Total cost of improvements $ /0.0 0 Amount of Permit S. Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Disapproved (Signed) Chairman Member Member .. Building Inspector Date oo[ _C,overing I Maximum live load to be borne by each floor I hereby submit all the pans and specifications for said building. All notices with reference to the building and its construction may be sent to The umlersigncd 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 Neith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed ender 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).... STATE OF FLORIDA, COUNTY OF DA,DE. 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 � ,ar { e true. Permit No 74 / 1 k Date `1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE 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 Plannio;; board. • A re - inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspextitm or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby umde 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, wheth erein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. ( Date..._...__. .._,. _ .._... 19.. , s ass_. No..... ..: . Str eeter"" / 1 =1/ J Gam{ • Owner's Name and Address 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 3 ... C..._. /..d / /J any for no other purpose. New Building g .r� Remodeling Y e Addition Cl Repairs..... ..:t°...s No. of Stories To be constructed of Kind of foundation L°- e Roof Covering sass.- ........_— Estimated Total cost of improvements $ v C) Amount of Permit S. 1.;•Z- • 5 ---4 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 J N 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 s bcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) State work to be done and purpo e of building (b floors) e42 O.. . >->.•- .fY. >,..>... STATE OF FLORIDA, 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 J4•" 1 - 7 7 3 / DATE Chairman "F re 40 Member /L_ cT'v p sass Member rE 'Q ' W /U. Member Member .. - �!f-ivk cr. D A/ 14- A•n. - _ - — _ Member Council Approved Date Disapprove 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. E A S T