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565 NE 101 St (4)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 Mrs. rs - CA u Z 11 Registered Architect andior Engineer / 1 �1 /1 Name and address of licensed contractor b xyL +S �U a'h ', $� �O , g) -7 V l J P l t' e t)4 / v�: , 10 o 0� r L l C44 ( J / 330sY Location and legal description of lot to be built on: Lot 1� g Block % f Subdivisio E S " r Street and Number where work is to be done c`) `j <� 77 E - / 0 l S/re LU PT f &d ee d State work to be done and purpose of building (by floors), state exterior colors (submit samples) New Building Remodeling Addition To be constructed of I- /A4 ( y fed Ch en ) " Kind of foundation i Estimated Total cost of improvements S '$ 6,, V 7 J Zone cubage required Distance to next nearest building Remarks a 3 0 S � I (Signed) STATE OF FLORIDA COUNTY OF DADE. } SS. Permit No. l3e Date Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building Inspector Date S efriem /) 19 O No. iJ t!5 Street A1 •E, /O/ S' -74 ec M.0 PI, 9 %;/&/ A S per --/ Srr ;c / 0 a k fd? er, de_ , 4:✓ and for no other purpose. Repairs V e - re 1 No. of f,' SStori ie / �+ es 1 Roof Covering F/4/ "�' d L e,i1 ,4, 4// 77/6 / Amount of Permit S Plan Cubage Size of Building Lot /7 )/5 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 a,g i Ca. �t 0 Loe.1 g)vh, Dp k + A L� eA f7or cli4 33O 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 onl such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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, that he has carefully read the fore going application. and that he did sign the same, and that all facts therein by him stated are true. Read. Sworn to and Subscribed before me. PLANNING BOARD DATE Notary Public. State of Florida My Commission Expires 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 anchor workmanship. BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA 4,— ELECTRI CAL ❑ Date 19_ . PLUMBING ❑ PERMIT N? 8696 Contractor's ROOFING "I License No. 0 Work to be performed under this Permit Owner of if . 3 t e! - e a f t, Building ,- i .1. '" "',e k:, '.- /" ie ; ,/ ,,,} Tie Architect Signed s. Contractor or Builder 44` ++ t-" me, e� 1 Legal Lox Subdi- Description I ( B1 vision 9 £ r r'° A l °+ I C� �' Value of t� -- Amount of tc ."' Building i,•�rF fi Project $ / Address 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 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 understands g that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work gfrered hereby whether shown on the p or d(awings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, seryransor rloyees. CTOR� ^ BY In consideration of the issuance to me of this permit I agree to > >> form the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, s ;jT ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume_respon "kility fo all work do,e b/- ither,_mysejf, my agent, servant or employee. tbt t ∎is CO' i14.1 •'i • CONTACTOR or BUILDER \ AUTHORITY 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. Dat s A ( o - , 19. � Owner's Name and Address. _.._ • •_ Qo, No. S6 5-._. _ -_ Street N 1 0 I S Registered Architect and /or Engineer.... -..- 1. _ q. ‘40\_■s& \ Name and address of licensed contractor_.__ __. t � _ � , V`) • s? Location and legal description of lot to be built on: Lot Block .. Subdivision Street and Number where work is to be done 5 S____ - ___I c) - State work to be done and purpose of building (by floors)__ _ \_x S`� ~" \��' • STATE OF FLORIDA, COUNTY OF DADE. ss. Disapprove _ / /.___ __._.__ Date (Signed) Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT and for no othej purpose. New Building Remodeling Addition Repairs No. of Stories I To be constructed of Kind of foundation ISO Roof ............. _ Estimated Total cost of improvements $ , l 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 foi said building. All notices with reference to the building and its construction may be sent to__ The undersigned applicant for this building permit doe . 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, 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 su c notice or notices as are required by the Act. The undersigned agrees to employ only such bcontractors, o work to be perfo this permit, as are licensed by Miami Shores Village. p Remarks__ _ (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared PL NG BOARD__ __ . DATE Chairman Member Member Member Member _.__ __._ . Member Date Disapproved Building Inspector My Commission Expires_ 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 Permit No o . Date_e. . f Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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. Chairnan Member Member Council Approved .__ APPLICATION FOR BUILDING PERMIT Owner's Name and Address._ Registered Architect and /or Engineer State work to be done and purpose of building (by floors) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Name and address of licensed contractor_.__ -- k 0 Location and legal description of lot to be built on: Lot__ Block ...... 1 Street and Number where work is to be done __5 . Street------ Q ( - '6' cos Date New Building Remodeling Addition Repairs • and for no other purpose. No. of Stories To be constructed of Kind of foundation Roof Covering_ Estimated Total cost of improvements $ O 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 foi said building. All notices with reference to the building and its construction may be sent to••_._ The undersigned applicant for this building permit doc 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subepntractors, on work to rGeG'T'erfw'mk under permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 eed are true. Permit No 4 `'"" . -- Date_ __. ...___ Read, Sworn to and Subscribed before me. Disapproved ` . Dat (Signed) Notary Public, State of Florida Building Inspecto My Commission Expires P $ NING BOARD__ __ . DATE Member Member _. Member 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.