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1189 NE 102 StE Permit No 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 work. Owner's Name and Address ................... .... .. PM le- Registered Architect and/or Engineer_ _ ...._ . _ Employing Plumber's Name__73.0 RP__....‘... • .6t2eZi..e..?24.4goete.... ...57......7 - 48114W..... Location and Legal Description Lot—...------____ Block__ Subdivision Street and Number where work is to be performed—No.______ ___ _ ___ Street State work to be performed and purpose of building (By Floors)_4 P •S.9L.c_.,. .&.7..e New Building Remodeling Addition. Repairs No. of Stories Size Septic Tank Type of Tank. Capacity Gals Feet of Drain Tile .......... _ ... Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well _Size of Soakage Pit -------- ........ ....... • ‘,„„ (Signed)_ Amount of Permit $ Plum ing 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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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. MIAMI SHORES VILI,AGE PLUMBING INSPECTION DEPARTMEiC APPLICATION FOR PLUMBING 7' MlT No./ Street (Signed114-44., Master Plumber. Date /49 CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT*N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL CONTR. LIST --- CHECK E Permit No 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 work. Owner's Name and Address ................... .... .. PM le- Registered Architect and/or Engineer_ _ ...._ . _ Employing Plumber's Name__73.0 RP__....‘... • .6t2eZi..e..?24.4goete.... ...57......7 - 48114W..... Location and Legal Description Lot—...------____ Block__ Subdivision Street and Number where work is to be performed—No.______ ___ _ ___ Street State work to be performed and purpose of building (By Floors)_4 P •S.9L.c_.,. .&.7..e New Building Remodeling Addition. Repairs No. of Stories Size Septic Tank Type of Tank. Capacity Gals Feet of Drain Tile .......... _ ... Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well _Size of Soakage Pit -------- ........ ....... • ‘,„„ (Signed)_ Amount of Permit $ Plum ing 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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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. MIAMI SHORES VILI,AGE PLUMBING INSPECTION DEPARTMEiC APPLICATION FOR PLUMBING 7' MlT No./ Street (Signed114-44., Master Plumber. Date /49 13urns Lawn Sprinkler Systems Village of Miami Shores Building Department 1150 N. E. 2nd. Ave. Miami Shores, Florida Attention: Mr. Bradford Dear Mr. Bradford: Please issue a permit for installation of sprinkler system and shallow well for the residence of Spencer W. Rudnick, 1189 N. E. 102nd. Street, Miami Shores, County of Dade, Florida. Approximate footage less than 400 feet. Enclosed please find check to the amount of $2.00; Thank you. JWB /db " VVatE7 ' VVIM ( ou SNeecf LTt Very truly yours, Burns Lawn Sprinkler ,systems & ack W. Burns, Owner LICENSED & INSURED CONTRACTOR WELLS - PUMPS 1393 N. W. 54TH STREET MIAMI 4 2. FLORIDA T E L E P H O N E 78-8756 October 26, 1956 d iVt/ P -,-�, Je)9, 6 NEW PRY' WE L ix/ Avirmio, ra C. CI 04 ci-05 SE Prtc- rAdit M NORTON PLUMBING CO. CONTRACTING - REPAIRING MAINTENANCE JJJ ESTIMATES CHEERFULLY GIVEN _ . ,.• PHONE 7 -9897 PLUMBING IN MIAMI 30 YEARS 49 0°17 ' . � 8011 N. W. FIRST PLACE .1 MIAMI. FLORIDA 195_ I'; r ' • L: Permit No.. ____ .1 ( le) Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT adt..44o Date / - N C * ____ { 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Registered Architect and /or Engineer Employing Plumber's Name � .�_ _____ � �1t No 9'v Location and Legal Description Lot __ — Block_ Street and Number where work is to be performed-No ..... 1_Q_�_ �'- State work to be performed and purpose of building (By Floors) fr" O Remodeling Addition Repairs Building � g airs No. of Stories P Amount of Permit $ (Signed) _ (Signed)._ Street I 0 1 - 4),( Street- Subdivision Street IV Q s' My Commission Expires Notary Public, State of Florida Size Septic Tank Type of Tank_ _ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well I • V CJ _ Size of Soakage Pit Plumbing 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 com- plied 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 sub- contractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fay therein by him stated are true. NOTE: A re- inspection fee of $T.00 will be made when such re- inspection is made necessary by improper notice 6)T or faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tune U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE* - CONTR. LIST / _ CHECK 1 Q v SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL C WIT LIST /,OD CHECK Permit No.. ____ .1 ( le) Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT adt..44o Date / - N C * ____ { 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Registered Architect and /or Engineer Employing Plumber's Name � .�_ _____ � �1t No 9'v Location and Legal Description Lot __ — Block_ Street and Number where work is to be performed-No ..... 1_Q_�_ �'- State work to be performed and purpose of building (By Floors) fr" O Remodeling Addition Repairs Building � g airs No. of Stories P Amount of Permit $ (Signed) _ (Signed)._ Street I 0 1 - 4),( Street- Subdivision Street IV Q s' My Commission Expires Notary Public, State of Florida Size Septic Tank Type of Tank_ _ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well I • V CJ _ Size of Soakage Pit Plumbing 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 com- plied 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 sub- contractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fay therein by him stated are true. NOTE: A re- inspection fee of $T.00 will be made when such re- inspection is made necessary by improper notice 6)T or faul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot j MIAMI SHORES VILLAGE, FLORIDA El PERMIT IsT? 12640 fl Work to be performed under this Permit CONTRACTOR OR BUILDER BL Subdi- vision Value of Project $ DATE /"'` / ?� 4■•• 195 Contractor's License No Amt. of 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 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. Signed • BY `•.. ; a, 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. BY (l AUTHORITY i BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building n PERMIT IT? 12599 Owner of Building ,..... :..., .� :.� MIAMI ❑ Work to be perJlormed under this Permit Lot ) '% CONTRACTOR OR BUILDER SHORES VILLAGE, FLORIDA Bl. i Subdi- vision DATE. /'" 7 = :� 2✓ 195 Contractor's License No . �. Value of Amt. of / t / Project $ Permit $ y i 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. ,,.. rossom Signed: ). gy j__ f q • _ INSPECTOR In consideration of the issuance to me of this permit I a)ree 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 al work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING • ELECTRICAL PLUMBING Owner of Building /00 be perf Architect or Builder l ONTR(1 OR BUILDER r SHORES VILLAGE, FLORIDA DATE L A 194 Contractor's License No. PERMIT N? 8831 ed under this Permit Legal Lot Description Address of Building This permit is granted to : e contractor or builder name. above to , struct the building o nstall the equipment or described in fhe appli- cation herefor in strict conipliane a with all ordinances pertaining thereto an with the o nderstanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and a owed the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with )I such ordinances or if the pla s are caged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above . ssume t e responsibili y for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawi or in the stag nents or spec'f' ations and that he assumes respon- sibility for work done by his agents, servants or employees. Subdi- vision Value of Project Signed • if 4 A _ BY SP By In consideration of the issuance to me of this permit I agree to perform e work covered hereunder ' ' .mph ce witlb all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted o the proper a f thorities of Miami Shores Village. In accepting a ssu me resiorisibility for all work done by either myself, my agent, servant or employee. ',r 1 I BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Su.bdi Description • vision Address of ! i ` "' Value of Amt. of `• ;',1 Building � . Pr oject Permit 7.3 This permit is gr nted to the contractor ,or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 ings o in the statejents or s ec and ( that he assumes respon- sibility for work done by his agents, servants or emplo}�ees. � � Signed. �_ / w ./ I INSPECTOR In consideration of the issuance to me of this pe it I agree to perform th, fork covered hereunder in compliance with all 4 aces and regulations perta sing thereto and in strict o©x'`i£ormity with the s, drawings, statements Or specifications submitted to the proper authorities -o Miami Shores Village. ceptmg tlyis p 1 !'1�'a x e~,responsibility fora ) done by either myself, my agent, servant or employee. MIAMI CONTRACT0 OR BUILDER ,PERMIT N? 8727 Work to be performed SHORES VILLAGE, FLORIDA DATE a'c.' .�'' ( I 19 OpiLe Contractor's ense No. under this Permit BY AUTHORITY • Owner's Name and Address_ Nature of Water Supply Amount of Permit $ ' , ';� ss. Registered Architect and /or ngiineer !_ Employing Plumber's Name w C� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No � 2 e,2 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewitlYsubmitted 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. �v No Location and Legal Description Lot 1 Q Block f � ) 7 Subdivision Street and Number where work is to be performed- No.__it ?_/ b 1 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ell Size of Soakage Pit (Signed) Date / 0 / ,C S-0 No Street Street Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 cau 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 sub - contractors, on work to be performed under,_.thii permit, as are -, licensed by Miami Shores Village. o � j . , � (Sim .e°V -- Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES STINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS El. �. W 0 , / S/44 1 -4 ^ 4 0 4. r� ` TOTAL FIXTURES /3 LIST G UST I� 3 1 / / ai � / . / . CHECK SEPTIC TANK SEWER CONN. DRAIN • FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK • Owner's Name and Address_ Nature of Water Supply Amount of Permit $ ' , ';� ss. Registered Architect and /or ngiineer !_ Employing Plumber's Name w C� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No � 2 e,2 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewitlYsubmitted 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. �v No Location and Legal Description Lot 1 Q Block f � ) 7 Subdivision Street and Number where work is to be performed- No.__it ?_/ b 1 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ell Size of Soakage Pit (Signed) Date / 0 / ,C S-0 No Street Street Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 cau 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 sub - contractors, on work to be performed under,_.thii permit, as are -, licensed by Miami Shores Village. o � j . , � (Sim .e°V -- Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the l .iild- 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. Date_ Owner's Name and Address_" �� ' No Street_ - Registered Architect and /or Engineer Name and address of licensed contractor_ �� Location and legal description of lot to be built on: Remarks (Signe peared d who, being me f the above describe erein by hi 'stated P ermit No Disaoved ( Signed) APPLICATION FOR BUILDING PERMIT Chairman Member Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Lot Block ubdivisipn Street and Number where work is to be done___// � .. * State work to be done and purpose of building (by floors)._ .195 ` -7/-L. A0'J ead, Sworn to and Subscribed before me. PLANNING BO • D DATE r 7 and for no other purpose. New Building E- ---------I Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $__ / 50 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 •n the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ub ontrac • s, to be performed under this permit, as are licensed by Miami Shores Village. - 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, sworn, upo oath deposes and says that he is the tion, that he as carefully read the forego g application, and that he did sign the same, and that all facts Notary Public, State of Florida My Commission Expires 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. t 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.