Loading...
230 NE 102 St (2)1 - t� 14 r o-'S c7 6---' Owner's Name and Address Name and address of licensed contractor Lot q (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. C- U L.) SeD r�1 Registered Architect and /or Engineer ,19.5 — No.... ,. a 4 . Street.. L• es, : ..... l P '2_ Location and legal description of lot w be built on // .5-z 7re 7 Block ; 7 Subbdivision...0 I 'gym / P.0 ._.. t 70 Street and Number where work is to be done 'N- "t l� State work to be done and purpose of building (by floors).. �ZEP ►. L� ► S-c �� o•i l Building Inspector and for no other purpose. Remodeling Addition Repairs No. of Stories Kind of foundation . Roof Covering New Bui!ding To be constructed of A .lv � Estimated Total cost of improvements $ 1 ' Amount of Permit S. 1. 1 SO 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 on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subco tractors, • ork to be performed under .this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. j 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.._ liaci Date. ki ' ...__ Read, Sworn to and Subscribed before me. Disapproved .. \. �.� Date. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairinan Member Mcrnber 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. 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 build- ing or other structure herein described. This application is made in compliance and conformity with the Build 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. /' / 1 / Date ��— // -._ ,19 6 f Owner's Name and Address Or/ • C • u TG d A/ Disapproved Date (Signed) Chainnan Member Member Council Approved Building Inspector _Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. 4'C) a <ic- a- do. N o. A 3 0 Notary Public, State of Florida PLANNING BOARD DATE Member Member Member _..._.. Disapproved or changes to this application after approval Street /✓F /0 a Registered Architect and /or Engineer A / /Val (off/ - - •••1111 iS and address of licensed contractor sE;I aicatlem end legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ° " _' C. j Si 37 & L/ /� J , T C. State work to be done and purpose of building (by floors) .�itl�7 - 1 9 Ali f , 4 re", - .2 . TA) ,4'- L c . ,i71./ G7"POod /C To (o d and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation , - Rtf&Z gvering Estimated Total cost of improvements $ 3} 00 ° 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 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 8988, 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 inspectio ,n the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su n .: ctors, work to be performed under this permit, as are licensed by Miami Shores Village. Remarks.._--..--- __._._ —. -- - -. •___ - -_ .. - (Sign STATE OF FLORIDA, COUNTY OF DADE. j 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. My Commission Expires Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor__ l_1 - IY ) 0 V a � - Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1.3 .4 State work t to be done and purpose of building (by floors) LL- and who, being by me of the above described therein by him stated Permit No i4 ' Disapproved �f ( Signed) - Building Inspe ; +r MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date_._. Date r-.5 C. No. , 19 0__ Street. it) _ 1.0._g. I. c.�-- t q `1 v � .... #1/41 1/ Ch // 1 L _i.f. 7 /1 /r — and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering � Estimated Total cost of improvements $ �____c1__� -. 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 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 5968, Compiled General Law f Florida, Permanent Sup eleent, and has complied with the provisions thereof, and will require similar compliance from all contractors sub -c• tractors employe m by him in the work to be performed under this permit; and will post or cause to be posted for inspection o t site o e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra ors, n work be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) et e 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, f ir t duly sworn, upon oath deposes and says that he is the construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts true. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ANNING BOARD DATE Chainnan 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.