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171 NE 102 St (5)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. Owner's Name and Address .....g. .._e' Registered Architect and /or Engineer �� Q 9 � �� Name and address of licensed contractor - 1 . f � A. 4 4 _ x - 41kw u' 4 4 4 • /.o V 7 y(/ 41Ld �+� �/ . Location and legal description of lot to be built on: P /' Lot 2 1 2 5 Block /a Subdivision. n,,4 Y *...;;Acid 4/4.69 Ql.E_ #/ Street and Number where work is to be done. /71 Ate /62 -(-I BT State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. j peared ss. 4 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date 1 0-‘ , 19 No /71 Street /I�r6i!.....fQl "` I • ..r New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $_.. d» ' . -421 Amount of Permit $ 2• ` 0 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 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. Remarks (Signed) _ an or no other purpose. mod, �1 wd..✓ . 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (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. Wire l ,,,(/ Top Rail /y8 Int. Posts / 78 Ter. Posts 0? ' Gate Posts 2 " / o 2 OLP T Lc WALL �,� 111!I r nocst to 77' 8dt • Pill 15 / 5 8 5, Name Address / Style — Gate, Etc. Price PART Customer's signature 1 PHONE: 84-495' Office Copy , fl 0 B T ASON, Inc. eeten ueee 1 rite ?ewe 12047 WEST DIXIE HIGHWAY NORTH MIAMI, FLORIDA MIAMI, FLORIDA �.� C t i 13 eR G[:R o2/VD oSr r9ryeNDED '4R1 Lo1b 22 1 2. 3 iCecK t3 IW/AMi .SKoEe.S 5 Property line to be established by owner. DESCRIPTION PART Terms Per Date / —i?1— a" 6 Style k �s // = /Height / S!2 " DESCRIPTION Bob Wason, Inc. 194 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Contractor or Builder Legal Description Address of Building Lot PERMIT N° 3079 . ". MIAMI SHORES VILLAGE. FLORIDA Architect B1 Work to be performed under this Permit DATE / Contractor's License No — " -- 195 // Subdi- vision Value of Amount of Project $ 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. _ Signed. BY 22/ ,� 4 6i e 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ate, Village of Miami Shores JOB .,,f 1,0 N° 3110 I ADDRESS // f� /2 / 426 S INSPECTION - 7 : P - / TIME READY REMARKS STATE OF FLORIDA, COUNTY OF DADE. 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 . A ^py of approved plans and specifications must be kept at building during progress of the work. � Date - Owner's Name and Address +7., No ./07 Street Registered Architect and /or Engineer . w ......__ e r Name and address of licensed contractor_ ___,_.._ _. Coo Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be ton nd vurpose of bus ing (by floors) To be constructed of Kind of foundation Estimated Total cost of improvements $ Amount of Pe Zone cubage required _Plan Cubage Size of Building Lot Distance to next nearest building ..C-: gt` Maximum live load to be borne by each floor ss. MIAMI SHORES VILLAGE Subdivision /9/ M- e BUILDING INSPECTION DEPARTMENT Chairman Member Member Council Approved Date PLANNING BOARD DATE and for no other purpose. New Building Remodeling Addition J Repairs No. of Stories f „, j' overing — ,_ r x_///9&, pe)0 1 ® N Dt t 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.in - ecti•n on the site of the work su ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subco t • tors,-,on work be pe .m�' under this permit, as are licensed by Miami Shores Village. Remarks (Sig _. 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 hat he is the of the above described construction, that he has carefully read the oregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida My Commission Expires Member Member Member 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.