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1165 NE 91 Terr (5)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. Thi' 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 `S.CP- � 19 Owner's Name and Address 7q(-) �/ � n ��� No. ) 65 Street 4 " G am/ f !_: ( T Registered Architect and/or Engineer 0 " fT 44/2). () . k ? / �n Name and address of license. con to?" `f / 7 0 / s t2/ - �,� /2, /3/ (9 /0/ Location and legal description of lot to be built on: / Lot 5-'1. or Block / Subdivision (A T Q S ! // I- 0 5" v / (' %/s ;'e c/ 4(a 407 Street and Number where work is to be done / / G S fu/ 9 7 7 ZZ State work to be done and purpose of building (by floors), state exterior colors (submit samples) Perz-1 Qp / tC / /J% X4/7 - 4 i .'e 7» o/v7 pC MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT and for no other purpose. New Building Remodeling - 1?-. /- Addition Repairs No of Stories I To be constructed of 0 et ,/ c / : Kind of foundation C v ii./CR1 T 5) L 1 ‘27Covag T I L•' E O �' Estimated Total cost of improvements S - J d 6 LL Amount of Permit S Zone cubage required Distance to next nearest building / Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to !_' / C -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli :tons as an employer of L or under the Florida \lbrkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and ha • G. plied with the provisions t ereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under f permit: and will post or use to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned ay. e- emp : only ach su ontractors. on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. J SS. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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. ` " Disapproved Date (Signed) i Building Inspector My Commission Expires Date //G C 6(/ ie / f� /G7 Plan Cubage Size of Building Lot Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Notary Public, State of Florida to me well known. Chairman Member Member Member Member Member Council Approved late Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and workmcnship. Order No: Ford Lana Surveyors, Inc. Poole- f.3t . r_ ' 14.4 • 1:3 Du) 264 -OOF35 . si. h : . • 4 — LEGAL DESCRIPTION: : '.2 1 Lot 21 According to the plot Page 141 of the Pub. FOR: MR. SIiUR C` BCKISTIC1: P__C . . Look: .`.47 -41 r -. SURVEYOR'. CERTIFICATE: I HEREBY CERTIFY THAT: The sketch as shown represents a recent BOUNDARY SURVEY made under my direction in compliance with the minimum technical standards of Land Surveying in the State of Florida, chapter 21 -tU1-6 F.A.C. & is true ..::i correct to the best of my knowlesyp and beli.c. DATE: 9-19-c,7 REV : REV : REV S IL a.st fee o:' lot 20 a: 3, tic West 40 feet of 1 ,WATERSEDGL , .,rcof rccur.icd In P aL Book 9 Deco.:..., of D : :ic County, I'loricla. Dat . 9 -19 -87 Omar Armenteros, Pres. Reg. Land Surveyor 03679 State of Florida. at MIAMI SHORES VILLAGE 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 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 , 19 Owner's Name and Address. ns 7 l n No Street Registered Architect and /or Engineer Name and address of licensed contractor_. Location and legal description of lot to be built on: Lot Block Subdivision. State work to be done and purpose of building (by floors) Street and Number where work is to be done New Building Remodeling To be constructed of Kind of foundation 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 A,i;o,,,, 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 that he is the of the above described construction, that he has carefully read tl�regoing application, therein by him stated are Permit No 3 Date ° Read, Sworn to Disapproved Date (Signed) g Inspec and for no other purpose. Addition Repairs No. of Stories / Chairman Member Member NNING BOARD DATE and Subscribed before me. to me well known, and that he did sign the same, and that all facts Notary Public, State of Florida My Commission Expires 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. 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 /F.c Registered Architect and /or Engineer .............. Name and address of licensed contactor Location and legal description of lot to be b • t on: APPLICATION FOR BUILDING PERMIT Street and Number where work is to be done _ State work to be done and purpose of buildin (by floors) 7 --2/ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Chairman Mcrnber Member ...... Council Approved Lot Block Subdivision New Building Remodeling. Addition llepairs e No. of Stories ...Cr--r` 4- --..._ To be constructed of Kind of foundation Roof Covering e 9-- - A" - el-- 4 -- 4 - 1 ?- 4°1 - -- +�s Estimated Total cost of improvements $ 6 e f A,mount of Pa ev".it $. 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 Suppkcment, 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 an 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),...._ Q C" 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. IS ° S ! Date Read, Sworn to and Subscaibed before me. Disapproved _...__ . Date _._..__1_ ..... J ) (Si ned � -- _ . �,. .t.--,-----" ` Notary Public, State of Florida (Signed) Inspector „ My Commission Expires - PLA,?SYNING BOARD DATE ®ate..._..__ . ?.. �.. / .�... C, ,191_ 3 — No. /% C street_ f./'.:... Z - y _ .4_...Z .R,.J A C for no other purpose. to me well known, Member Member Member ...._ Date Disapproved Date NOTE: A charge of $1.00 will be made for making onrr:etions or changes to this application titer approval has been obtained from the Planning Board. A re- inspection Ice of 51.00 will be charged when such re- inspection is made nece^sa!y by lr roper notice for inspevtitm or faulty materials and /or workmanship. 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 / 1(. R/C: ; �,/) r5 ! C,4 No.// StreetP 7'. _ Registered Architect and/or Engineer Name and address of licensed contractor Location and legal descriptitpi of lot to be built on: Lot 35 O2494 C Block / Subdivision 42Cii / / € / e0 t Street and Number where work is to be done � /� 5 lL) ff.. 9/ / P. f'r State work to be done and purpose of building .y floors). state exterior colors (submit sam.le 1 and for no other purpose. STATE OF FLORIDA COUNTY OF DADE. } ss. Remodeling New Building To be constructed of Estimated Total cost of improvements S lid 4 7.3 Amount of Permit S 3D t Ot) 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 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 \lorkmen'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. Remarks (Signed) Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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. / if I I Disapproved ���rrr Date (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Kind of foundation Date Addition Date e ,/ Repairs �. e6 7 0J :� ` p %,/ Roof Covering Read. Sworn to and Subscribed before me. No of Stories Notary Public. State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE 19 6 7 to me well known. Chairman Member Member Member Member Member _ Council Approved ate 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.