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284 NE 102 StRegistered Architect and /or Engineer. .....•.......•••••.. Name and address of licensed contractor Location and legal description of lot to be bun on: Lot / ° 1 V oK Street and Number where work is to be done Remarks pealed Disapproved (Signed) Chairman .......... _ ......... _........ _..... _..._.._....._ Member Member .. NrIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement ut the plans and specifications herewith submitted for the build • inc 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 . /.7)/// e �� ._._ No. _.. Str 1 .. Q2.N State work to be done and purpose o2b (by floors) /� Alker'I S ate.. Subdivision. .1.. A M // Lg. 6 6 /3 4706 New Building Remodeling Addition To be constructed of Kind of foundation Estimates Total cost of improvements $... • x• •_• .. Amount of Permit S. .... 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 hercby 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 notices as arc required by the Act. The undersigned agrees to em •' • only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. r (Signed STATE OF FLORIDA, COUNTY OF DADE. i ss Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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 careful read the foregoing application, and that he did sign the same, and that all facts Permit No. kk k therein by him stated�re e.. �0 ! ,/!1 Date.... Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD ...._.._ DATE *II ... ?Mt ..............t. L• III. ..._. r and for no other purpose. Repairs t/ « No. of Stories Roof Covering Member Member Member ___....to me well known, Council Approved ... Date Disapproved Date MUTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the I'L,nni,.;; Board. A re.;wction fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anu /or workmanship. 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. ]� / E1 Date..._..._... _ r .1 ,19..76 Owner's Name and Address .. .ah.n..... - 1._(r j t � _ No.. A .. Str eet Registered Architect and /or inter .p .�.l�.....y#. .!..t.�.4. 21 .... .,,,,.,t,,,,,,,trt,,,,„,,..,,, Name and address of licensed contractor Location and legal description of lot to be bu�on: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Lot d- Block , tYl t State work to be done and p se of building v y floors).... t).) C13 ... 5.. ° U C.CL and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of {undation Roof Covering Estimated Total cost of improvements 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 pennit 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 are required by the Act. The undersigned agrees to employ only such subcontra ors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed). Street and Number where work is to be done... STATE OF FLORIDA, COUNTY OF DADE. j ss Permit No..__--.__ Date Disapproved ! Date. ( Signed) . C . Building spcctor PLANNI Chainnan Member Member ...... _ - - ..._.�..... Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning hoard. A re- inspection fee of 31.00 will be charged materials and/or workmanship. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 Read, Sworn to and Subscribed before me. ' Notary Public, State of Florida My Commission Expires G BOARD DATE Member Member Member Date Disapproved or changes to this application after approval o,�!LlOX_ r�P. . _.� to me well known, Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building o'l/d a o PE N9 7806 ❑ Ic . r .. v ❑ Work to be performed under this Permit 107/ 7 -c s.. 1_ 4 /la s .,..L #1 .0 04..5. MIAMI SHORES VILLAGE, FLA. No 181 Architect Contractor r ,� , N or Builder . if f Legal Lot II Bl Description In consideration of the issuance to me of this permit I agree to pertaining thereto and in strict conformity with the plans, drawings, state' ceptinglbif permit I assume responsibility f all work done by either, R OR BUILDER DATE SHORES VILLAGE, FLORIDA TE JOB ADDRESS /f` o Contractor's License No. 19 it, / O. ;e2-0 � r ' / Jf _ .. _ c INSPECTION :t)(C-6S Address of + r d C i IrQ --i Building TIME READY This permit is granted to the contractor or builder named above At O - tion herefor in strict compliance with all ordinances pertaining thereto an plans, drawings, statements or specifications that may have been submit at any time if the work is not done in compliance with such ordinances o REMARKS • permit is granted is the understanding that the contractor or builder na regulations pertaining to the work covered hereby whether shown on thq sibility for work done by his agents, servants or employees. INSPECTOR DATE /r 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 ' WO Registered Architect and /or Engineer _ _____- Name and address of licensed contractor__ Location and legal description of lot to be built on MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ate ;Y No. __, -Q 4.1e-.1:9-,e)-- Lot_ —_____ Block �] , / Subdivision / ,r, _ Street and Number where work is to be done__ _pc _ `y !1 !i4 ' State work to be done and p pose of building (by floors). r_T__�'__ /: / ' / Street_ We/ a ! 4177' 1 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering f —_ c- f° Estimated Total cost of improvements $_ ae' Amount of Permit $ Er � 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 are required by the Act. The undersigned agrees to employ only such , stgbco actq�s, �o . wo�ry to a ,perf ed u der this 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 stat are true. Permit No —__ Date 1p � Read, Sworn to and Subscribed before me. Disapproved Date__ ( Signed) Building Inspector My Commission Expires Notary Public, State of Florida PL ING 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.