426 NE 102 St (14)BUILDING ED MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING ❑ PERMIT N? 10668 Contracto 's a..737
ROOFING ❑ License N
Owner of ...
Building / . # 3 i'
Architect
Contractor
or Builder t 1 . t. ' , F- f` i
Legal Lot
Description
Address of
Building
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-
sibility for work done by his agents, servants or employees.
y (INSPECTOR) BY
In consideration of the issuance to me of this permit I agreto 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 per a e for all work done by either, myself, my agent, servant or employee.
Signed ` "� -'
re4A-6.4°
CONTRACTOR or BUILDER
II Bl
Date ! ' ' .w
19
Work to be performed under this Permit
r• /`"fi`r l
Subdi-
vision
Sq Ft.
Value of 11 Amount of
Project $ " '� 11 Permit $ "-
BY AUTHORITY
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._
17 T
Reg1 tered Architect and /or E n g i n e e r . . _
Name and address of licensed contractor_
Location and legal description of lot to be built on:
Lot__ 9_t_ -_ or /O Block 9/_
Street and Number where work is to be done
Disapprove
(Signed)
Chair "man _
Member
Member
Council Approved
D
Building Insp or
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date , 19 6"
ND
No.__ !_v
. -- - -- Street_ 1 O � � r
GEEEAL FENCE CO.-- --lac.
71$5 fV: W: - 26th--- AUEN-UE
�� MIAMI, FLORIDA 33147
Subdivision i41!2ND TiG.tIT 1AM_ Z sf/Q_ S JE T
((/. C. /02" ,J
State work to be done and purpose of building (by floors)_. C451.12_ _/1/2L &ice 443 hae4v.iregt
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 $ 263 O 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 pins- and ' i for -sai ildin All notices with reference to the building and its construction may
be sent to ° R °
The undersigned applicant for4R%u,ldi gipern that he understands and accepts his obligations as an employer
of labor under the Florida WorkmeWI/4*p a0ADAt.3 i Sec :ion 5968, 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 su tra ors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks -. _ -. -- (S gn
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 stated are true.
Permit No._ / C° � Date____.. Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
LANNING BOARD __ . DATE
Member
Member
Member
_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.
7�LL
55 � �•
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