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1053 NE 91 Terr (2)• • • MW PLAN OF SURVEY Found 1 /tl - =rove plea. .E 4.87 (TIE Sa-+ DC, // /IoLa n an% S iL 01SC., 351 0 0.1 R — ` 4. ,« -- --.I -- o E y31 R8 144444 Off, pei•C• 0' N 'LS 0:%1 11.15' a 2 2. 3.1 1 o ... r 0 .40 .0 01413 STOR.`( G r .5 . TWO STO ca.r 0 IC..S5 / x•1 T ILA 50.00 O'er • :. 50 -00 w I Garci L�•s� c�.h • � O 04.w4' ; IZ•0 \ r5.S' Powcwo { J gra 9 I sr T. C— � . 27' S pfA .r P4YM 0 • • 5co•4c. SIDG i 1 Rov•td 4'1 =re" plea, 30` SCALE 1 " s 20 - PRO PER.TY ADO 2ESS: 1053 N.E.gI'T TE1Zf�. M I At-t % S Hams g . 331 5• 5 /.farad koL� and flje+;1.4 DISC.. o.ZO' G•S • 3590 c-T • , • • s so Disapproved (Signed) Buildin Chairman Member Member . _. Council Approved MIAM A LI C VEL[1. GE BUILDENG EN5 1 C7:COG`J' DDEIrP;a Date spector TO [7:11_3L DDOLDD EME G E MO`i Application is hereby made for the approyal of the deta_ed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is evade in compliance and conformity with the Buildin 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 spegified or not. A copy of approved plans and specifications must be kept at building during progres.: c' the work. / Date_ Owner's Name and Address -_ -. 4! _ . S®4' /Z., Registered Architect and /or Engineer.. _ __ _ _. __ _ _ Name and address of licensed contractor C'/ / " / 6- Location and legal description of lot to be built on: Lo. . __. - -- _ - -_ _ Block / Subdivision__. W Ante _ S E 0 &r_da -- _--_ -. / g Street and Number where work is to be done / 0,I A 9 /_ - ___ 7 - '_` ._ State work to be done and purpose of building (by floors)___ 9'e ' ___` 9r, L 47.,..,....e..._ _Plan Cubage__ ' - - Date Disapproved // 4 7 No. _ /P , /" Street y/ and for no other purpose. New Building Remodeling________ __... Addition._ Repairs.. .... .... ___ No. of Stones To be constructed of Kind of foundation Roof Covering vv _ Estimated Total cost of improvements $ Amount of Permit $_. Zone cubage required 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, 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) - C 1 eb Li-...g STATE OF FLORIDA, 7 S7 COUNTY OF DADE. f Ss. PLANNING BOARD DATE Member Me_nber Member 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 `''/ - s ue Date_ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Date NOTE: A charge of $1.00 will be made for making co *regions 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 si. , h re- n pection is made necessary by improper notce for inspection or faulty materials and /or workmanship. ,i_a. diesx J©,< /7 ge? II 1 9 c0 )cfr 1 StA 9// ,q/ 1 P /2 9'/