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575 NE 87 St;ID 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. — / 1/ Owner's Name and Address. Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Komar Construction Co. Registered Architect and/or Engineer Ideal Roofing & Sheet netel Lorks, Inc. Location and legal description of lot to be built on: Lot Block Subdivision o Street and Number where work is to be done 575 NE 7th St State work to be done and purpose of building (by floors) 151# felts and gravel in hot asphalt. New Building XX Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering bt J t Estimated Total cost of improvements $ 510,00 Amount of Permit $. rauares 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 f the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sbeu ae rs, 0 to be performed under 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 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 - 5 CI Date ‘"J Disapproved (Signed) cit Date ?Jay 11 No 575 Street NB 87th St. 40 felt tin copped to typsum dock, trio 711 Food store building , 19 60 and for no other purpose. to me well known, 0 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building In ctor My Commission Expires / PLANNING BOARD DATE Chairman 1 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. Owner's Name and Address RENA HAMBELTON Permit No ... Disapproved (Signed) Building Inspector MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specfi ications herewith submitted for the build ine 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 iuilding Division of Miami Shores Village shall be complied with, whether herein specif or not. A copy of approved plans and specifications must be kept at building during progress of the work. BUILDING INSPECTION DEPARTMENT Subdivision floors) ASBESTOS Registered Architect and /or Engineer 21 ,.,•• .:...............•••.,. .sass Name and address of licensed contr,ictor Co E. SH ROOFING, INC_ 41 N. W. 20TH STREET MIAMI Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by REROOF 28 SQS. OF 5 –PLY 51.9 — 5.61. N....... .m 611.171 ....E ..T_ —sass MIAMI – COMMERCIAL BLDG and for no other purpose. Repairs No. of Stories....... New Building Remodeling Addition To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ – a .- Amount of Permit S. Zone cubage required . ........... 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 pennit; and will post or cause to be posted for inspection on the si of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcooJ tsa tors, to be performed under this pennit, as are licensed by Miami Shores Village. Remarks — _ ___ (Signed 6. 'Z .Street__ 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 t' - .e .-•- C> – to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. '$.o- of the above described construction, that he has carefully read the foregoing application, and that he did sign the saute, and that all facts therein by him stated are true.. M and Subscribed before me. Read, Sworn N My Commission PLANNING BOARD DATE le, State of Florida ' Expires -- t7{Fmt^ 3ond:d Thai Troy Fain • , ...a. Chairman Member M ember Member Member sass.. _ -- _-- -.._._..._. —sass_ 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 tlic 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.