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500 NE 102 St (11)MIAMI SHORES VILLAGE °5 7S 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 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 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 NZ `NZ d n"1 a P • d Arm e S . a E . AN No. Street 50 0 N E \. O Z J i • • t clr.•. sikAoe es F 33 13 Registered Architect andior Engineer n �7 S -('1 FL1 Name and address of licensed contractorAr•ol ECtt 0 ..n/ Co" F a�'r k. N C- • C J i t t -. + Location and legal description of lot to be built on: // gp`t(y((/ I�, //73 ' A ` / e - �/ y/ /� Lot \ \ d 2._. Block C \ .44 /' 1 Subdivision ' 1 0 1 ,- -"i �� dz e. S V 1 L L A G e___ Imo/- / / A Street and Number where work is to be done 6 0 1\.) E_ 1 © 2... `� 'r• State work to be done and purpose of building (by floors), state exterio colors (submit samples) a e p ' ^ e E.� 4 -.4- 1 -76 1 ' 4 (4 CP i 0 o- __B 0 W and for no other purpose. New Building Remodeling Addition Repairs To be constructed of Kind of foundation Roof Covering 6 Amount of Permit S Date 3 D i9 9 0 No of Stories Estimated Total cost of improvements S e- 7■ O . °c Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 hereby submit all 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 obligatons 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 V agrees my su ubcontractors. on work to bbe formed Remarks (Signed) , � under this permit, as are licensed by Miami Shores i 11 � age. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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. jD l / Date J Jii 9,0 Read. Sworn to and Subscribed before me. Disapproved r Date Notary Public. State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and +or workmanship. Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. Permit No._ Disapproved (Signed } ss. James G. Sheehan D Yew Building Insp: or Chairman Member - Member Council Approved Date MIAMI SHORES LAGE BUILDING INSPECTION DP TMENT APPLICATION FOR BULL NG PERMIT Application is hereby made for the approyal 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____ November 14,. ,i968 No 500 Street NE 102 Street Registered Architect and /or Engineer Name and address of licensed contractor H om e - o wn a r_..permit. Location and legal description of lot to be built on: Lots 11 & 12 Block 9 Subdivision Miami Shores, Sec. 4, PgB 15/4 Street and Number where work is to be done 500 NE 102 Street State work to be done aseok* WiesAlfacliquak____G_ex tra_ l.__ a_ ir___ c_ onditioning __and__ duct work. Air ConditioningtHeat pump New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $2_, 0 0 0. 0 0 Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building 4 0 Size of Building Lot 100 x 122 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 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 such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) LANNING BOARD DATE Member Member Member Disapproved 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. 3 �' Date �� � 6 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires NOTE: A charge of $1.00 will be made for making the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. corrections or changes to this application after approval and for no other purpose. Date has been obtained from for inspection or faulty BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA Date —:i 1 ° ; .' 19_ ELECTRICAL El PLUMBING ❑ PERMIT N 10633 Contractor's License No. Ow" ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building «% 1; t s s.. 11 CA $ .� Architect or Builder ; , t:1e %I 4 L i or Builder C x �► Legal Lot Description 11 B1 C or BUILDER Address of 00 , ' a. Building c 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 whe er shown on the plans,/ drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, sery ts o Signed. (INSPECTOR) BY In consideration of the issuance to me of this permit I agr to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawit 3, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. r wei; et tort Subdi- vision Sq. Ft. !l, .'i a.s ,•.p t Value of Project $ Cr; °:: Amount Permit of BY AUTHORITY Owner's Name and Address._ 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 Disapproved Date ( Signed) Buildutg Inspector APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and pure se of building (b floors) 6 Date /1 3 , 19 No Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of f uunnddaattion 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Q _ \ Remarks (Signed) .S _ e 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, 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 ° 7 / Date ^ C Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING 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. I\ s