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415 NE 102 St (2)Registered Architect and /or Engineer Name and address of licensed contracto • Disapproved Date__ (Signed) 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 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 .6 . , 19 Owner's Name and Address 7 t 1 -- p / S©'7/ _ No. .."....C. __. Street- _- -.../. C 2- - oetrig 7 ? c-^• Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1 T G" / ' Stato work toe done purpose of building (by floors) (/ l `._f�L /.. `.. 7 _.._.._.._ . . Fr _..__ and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ..s+ Estimated Total cost of improvements $ -' 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 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 ection on the site of the • such public not or notices•as arc required by the Act. The undersigned agrees to employ only such su tractors, on work to the under pennit, as are licensed by Miami Shores Village. Remarks- ` (Signed Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Mf ember Member Member ...... _. ...____...__.---- ._-•-- -_.._.._ Member ...._ Council Approved Date Disapproved 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 Building Inspector My Commission Expires 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 ......... Date Read, Sworn to and Subscribed before me. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval ha the Planning Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. s been obtained from , '1 ; / 2 • ) A / /-3 "/k(/‘ .13/0C.k.5 (77 S 72e fr / hi$ 7 :' / ....--7---, ,1 , ,r . 6...„.. 1 _ i . ., ......._ i,. 37 1/C /0 " cl%7 rrve ( 1 is • C L.+!'. l: 64_.V F,rP4ry f 1 I • )- sc I • r r j : 1. i 1. -�°+.: r . 32 " ifteacAt. • 1)/ ,ZS, ( r- 7 4:;c1 4/ / -5— //6 / , irmovectson,. .5:4,,47.1012 • q )( Mt.:41P Le. ikr oUtt tarre •• - z ,, romv$01fi'4.. 14' 14.1i / (A..; rz 7 Li C C 4 - 1.r."cirizt444:i`. st • reifoi ctak-ci-a1V42 s wirine and 0-04. / w. • - It \ ei v 67 (7 1 i J • / ' C. /L- / /— / • C. .13 / ft/ 4 7 c 1 fr/ /0 )<./ 16 1 , r/e ! s ) : • . . ' .• , • . d • I .. j f ' • .;1 r ` 1 1 I .. l .I It 4..G• \ l • r, i 1• • " ▪ (1 • ;I 1 1 •. . 1 r. r i- t S• in 4- C ! •. ; ' • • -� } • ./7 S' J• CA 'N • f', ce;,. 1. ti 1• a. , Via ,• • . s ': (, 1l. 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 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.. _'/. ./. r _........_. _ _sass 11 ?2 Owner's Name and Address ..t PP a 3 0 ._ No y Street-2a . ./0 2.,.._ Registered Architect and /or E ngineer ............. . ... V ...ICf...4e ..f _ ..1k../.6' .. ! , stns .. �ar. ... nvrr .. .... a P..ig v. G e r , / J '' s.. _ _._. Fame and address of licensed contractor ... . Location and I g al description of lot to be built on: . Lot L 4.P r 0 4 7 Block ( ILLS o y�j� t , , . /�--��.pp..�.. 4 �.. e C Street andmbe/ ierc IL work is to be done S /IE. ICS Sr .._. r State work to be done and purpose of building (by floors)...__.....F...a.�h! �.•eo--- 87 ft ■ .......t New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind foundation Estimated Total cost of improvements $ 0 Q' 6 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 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 Sup element, 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 pennit, as are licensed by Miami Shores Village. Roof Covering Remnarks ( Signed) _..._.___ ..._ .............. sass- - --- -- STATE OF FLORIDA, COUNTY OF DADE. ss. Date. Chairman Member Member Council Approved Date Notary Public, State of Florida P . NNINC BOARD _.._......DATE NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice materials and /or workmanship. and for no other purpose. Disapproved (Signed) Building Inspector : My Commission Expires 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 true. Permit No.___ /q1<1 Z Date ` L z Read, Sworn to and Subscribed before me. to me well known, Member Member Member Disapproved Date has been obtained from for inspection or faulty 1017 S. State Rd 7 Plantation, Florfda 584 -0971 \ 1 b Address %Il ri, F. 1& • CLARK'S SALES AND SERVICE INC. City PAIE}ntl S Terms 2455 N.W. 76th St. Miami, Florida 693 -4272 Order No, 28' 1997 . . k A A-1.41- N,101 0 - i - IS co2 Riken1c1 Ola A- 1h 1 % St., 19 s'6.1. ,/ cat- , do i / b' 10.4‹..,,,i ''7/146 1'2,3 4 °,d a -' _ 1 All t. ) )) 1 1017 S. State Rd 7 Plantation, Florfda 584 -0971 \ 1 b Address %Il ri, F. 1& • CLARK'S SALES AND SERVICE INC. City PAIE}ntl S Terms 2455 N.W. 76th St. Miami, Florida 693 -4272 Order No, 28' 1997 BUILDING ELECTRICAL PLUMBING ROOFING _ rw -.4 Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT w. t Architect Contractor --a 1 ` or Builder ; a;; t Legal Lot Description II Bl sibility for work done by his agents, servants or employees. N9 5199 Work to be performed under this Permit 3 DATE Contractor's License No. s :t Subdi- vision Address of 4 Value of . 4 , Amount of Building c, = ''' Project $ I 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 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- Signed ? _. - � .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 asd 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. BY AUTHORITY ABIIOT ' Owner's Name and Address_Z -h 2. 2 al-km) J STATE OF FLORIDA, COUNTY OF DADE. j ss. Permit No Disapproved _ ( Signed) MIAMI SHORES VILLAGE 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. Registered Architect and /or Engineer Name and address of licensed contractor__i_/_Yl1Lid % Location and legal description of lot to be built on: yy • Lot_ �✓`__o_S_E /�_� 4 O ( /V Block 9z Subdivision__Y 2r Street and Number where work is to be done 4/5' J� _ jo State work to be done and purpose of building (by floors) 1 / //' Date Date Building Insp" for BUILDING INSPECTION DEPARTMENT Date P ,194'y No �7 Street 1 2 G 10,E ?Q - - - - -- 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 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 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 foil/inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suc .contr . .rs, j work to,� p formed under this permit, as are licensed by Miami Shores Village. / ��% i Remarks (Signed - _ _ __ 410/ 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 f.regoing application, and that he did sign the same, and that all facts therein by him stated are true. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commissiori Expires LANNING 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. ii 77 rs- / cs HD /0z 17/ //