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620 NE 101 St (10)To be constructed of .. Estimatcd Total cost of improvements $ Zone cubage required Distance .to next nearest building MIAMI SHORES VILLAGE 5 Kind of Building Inspector Cirair:nan Member Member.. .. _....._......_..._.— Council Approved Date NOTE: A charge of $1.00 will be made for the I'Lrnnir.g Board. A rt.in.pection fee of $1.00 will be charged materials anti /or workmanship. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby urndc for the approval of the detailed statement Of me 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 13uil. ling 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. / O Q K Date ... ._ .__.. .•_..._ ..__•• • 191E4' Owner's Name and Address .... . &lr.11. •... . . J3L4L 1 e. I ..._•_ N N .. i ..•.. Street. .. .iat...S.i Registered Architect and /or i,' • ... .Al L It �.4/ ..�•.. ,•••e .. „..„„..,.. En facer. // � .... � ... t,:,. _ Name and address of licensed contactor /�i.../ A. in 12..e.. .. i O.W.,SJ..: -•- z...••.••,�.!�! C r •22.6.7/1/ M -.1: 8 . � v d 31 �btio built on: yn IArn ' 'S / sw8 S / - ' �A r II � .� r ,.1/ Block tie! Subdivision _ Street and Number where work is to be done (..t O Al .6 J 21. _ 5/ _.._.... ••__ .• l _ // '"�� r ' + 11 State work to be done and purppR�e of, buil ing (by flops') a!' 1e llti.. CL .S�_ _ L G 1. .i._Ato ...0.101 . 0 t' 00. tient?) a t £Xi..s r a. .Attie A. A.IES:9 ...• ........_ ....._..__... ..........and for no other purpose. New Bui!ding Remodeling f Disapproved 1�.. \ •.1. Date (Signed) Ad Ilion Repairs No. o Stories _ foundation We l Roof Covering /./.•� ... "'. laive 1 , 10619 Dv Amount of Permit S. '0 Plan CubagJ 5 1i. " Size of Building Lot /3 /. ? j. 2.. ...._ Maxiunurn 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, anti 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 noticcs as arc 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) , /./L_ 14 isl!1, peared 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- ....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.._& 1 ! 2 Date 4 4'4 lv Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member Member Member ...._ __......._ _.._ ... Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection oe faulty BUILDING © Date —_IL: 3 19. " ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 10549 Contractor's , ` ■ ROOFING El License No. Owner of Building Al i1 (r / c. , Work to be performed under this Permit Architect v ` Contractor or Builder ^ ' Legal Lot , 11 Description r y `) s' t 1 Bl, r'° 3 Address of Building CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- (` vision i1' . .. Sq. Ft. ,gym Value of 11 Amount of [- Project $— � , o� > 11 Permit $ `� r . ' - , t, y . .. c .. t ! :, 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 assumes respon- sibility for work done by his agents, servants or employees. n Signed :4 ` f �. (INSPECTOR) BY In consideration of the issuance to me of this permit I ee to perform the work covered hereunder in compliance with all ordinances and regulation, 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. BY AUTHORITY