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BUILDINGBUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor ; 7 or Builder r Work} to be performed under this Permit CONTRACTOR OR BUILDER PERMIT N? 7062 MIAMI SHORES VILLAGE, FLORIDA DATE Legal - Description Addre of 7./ mss/' Va,ue of ,e� Amt. of Building Pro'ec / (¢ Per �+ ' ....�, This permit is granted to the contractor or builder named above to construct the b ding or to install the equipment or devi • described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be perfo d in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. his 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 resp sibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or e statemer;ts,or specification and that �lie�a� respon- sibility for work done by his agents, servants or employees. } y+' . , � 1.� If+' t =am' Signed. • ' INSPECTOR By In' + 'deration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations :; pertainin. ` eto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village'. . In accep ' g is pe me responsibility for all work done by either myself, my agent, servant or employee. • BY Contractor's License No. AUTHORITY Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 regula- tions 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 buil ing during progress of the work. Owner's Name and Address (, 4 Registered Architect and /or Engineer_______ Name and address of licensed contractor Location and legal description of lot to be built o Block__ Street and Number where work is to be done State work to be done and p rpose pf building ?t� >a – . New Building To be constructed of Estimated Total cost of improvements $ Zone cubage required____ appeared and who, being by me first duly of the above described co stru therein by him s ted . re rti Permit No.__ Disapproved (Signed) _ Member Council Approved_ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Remodeling Kind o 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 referent be sent to The undersigned applicant for this building permit does hereby certify that be unde of labor under the Florida Workmen's Compensation Act, being Section 5966, Comp and has complied with the provisions thereof, and will require similar compliance fro in the work to be performed under this permit; and will post or cause to be posted fo or notices as are required by the Act. The undersigned agrees to employ only such su permit, as are licensed by Miami Shores Village. Remarks , p rfi Building Inspector y floors) Subdivision 1 .��� Addition foundati n ______Amount of Permit Plan Cubage r Date_ r Street_____________________ STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized administer Member Date Disapproved I PLANNING BO RD DATE Chairman Member Member Member ccepts his obligations as an employer ws of Florida, Permanent Supplement, ors or sub - contractors employed by him on the site of the work such public notice ors, op work to be perfofined under this oaths and take rn, upon oath de••ses a N says thl he is the that he has caref lly re ed the fojegoing application, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission 19 �L : 'ii _and for no other purpose. No. of Stories e building and its construction may acknowledgments, personally to me well known, __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. Disapproved .__ (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement (it the plans and specifications herewith submitted for the build in 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 A rive Z..Q.r YfG11 Registered Architect and /or Engineer.. Do v L Iv EA ,.,. .....• <•,,.,,,.. Name and address of licensed contractor , r tL n e-L/ 64,9 - Q10 CA./ r c Location and legal description of lot to be built on: Lot. 3 § e l Block 9 / Subdivision / 141 ° 111 ' 'S Street and Number where work is to be done 4 l° /VE z. _ State work o be done and purpose of building (by floors) lL.E.t .lam .....s!Lr _.._. and for no other purpose. New Building Remodeling ✓ Addition ✓ Repairs No. of Stories To be constructed of Ce.S Kind of foundation ,{ Roof pvering Estimated Total cost of improvements $ / � ✓ 075 ":' Amount of Permit $.... t U ( V Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Building Inspector Date — No..... .._... Street—iP Z 57" .2 C .. 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 budding 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 Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanrnt Supplement, and has complied ssith 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 subcontract; s, on w ork to be perf:rmed wide y this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLOFIDA, 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, rind that all facts therein by him stated are true. �'( q Permit No P D � Date /4) ° ��f hi l 1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Merr.ber 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 ha been obtained from the PI.,nnir.;; Ito.rrd. A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for in Lion or faulty materials and /or workmanship.