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864 NE 91 Terr (13)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 building during progress of the work. Owner's Name and Address in! Registered Architect and /or Engineer_—__ Name and address of licensed contractor Location antlegal description of lot to built on: � _� Lot —_— ___ —_ Block__ —__ Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) • New Building __________________ _____ -____ Remodeling_____ To be constructed of Kind of fou Estimated Total cost of improvements $_ - n i ce_ Zone cubage required Distance to next nearest building______ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said be sent to____— _____ —__ —__ STATE OF FLORIDA, COUNTY OF DADE. Permit No Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building Inspector 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 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 perm t, as are licensed by iami S es Village. Remarks . tion u'D Date Date PLANNING BOARD ((� Date — - -�- 9 • No. Street:11 r C 8 ________ Addition_ — ke _ — Amount of Permit $ ___Plan Cubage __Size of Building Lot building. All notices with reference to the building and its construction may (Signed) Notary Publi My Commission Expires and who, being by me first duly sworn, upon oath deposes and says thatshe is the of the above described construction, thatShe has carefully read the foregoing application, and that he did therein by him stated are true. DATE - and for no other purpose. Repairs No. H of Stories Read, orn to and • •scrib . efore me. Chairman Member _ Member Member _ Member Member Council Approved — _Date Disapproved Before me, the undersigned authori y, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ! f GvLc� " 1.-.-- 774 r to me well known, sign the same, and that all facts tate of orida [ ,/t 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. t G I/ STATE OF FLORIDA, COUNTY OF DADE. appeared Permit No. Disapproved —. (Signed) Chairman Member 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 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 building during progress of the work. e t Date 1 Q 19 - , j j Owner's Name and Address Li t, Registered Architect and /or Engineer A 7 Name and address of licensed contractor r ) A , \. 4 \- 1 Z n" r_.,1 �T� • Location an legal description of lot to,be built on: ' `'� Lot— _— JL____________ Block_ Subdivision D e , 'r Street and Number where work is to be done s.? I.9_ .-Li. � �.` � � � '..` a`�tl ]L State work to be done and purpose of building (by floors) /14 /l. _ 4 Date Date_ Building Inspector No.__ Qom, — Street Il_e.', Read, Sw • to and Sub r ibed be ore me. Notary Public, My Commission Expires PLANNING BOARD DATE Member Member Member Member Council Approved -- _______— __Date Disapproved __and for no other purpose. New Building Remodeling_____} Addition —1 Repairs No. of Stories_____ __________ A: . Gy .,1____c—_____ 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_____. & e a? �? _ 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 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) , \(4- t)_ Before me, the undersigned authority, a notary publi duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says thatthe is the of the above described construction, thatShe has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. _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. FLOORS FIATUHLb ONLY NUMBER OF TOTAL OUTLETS SI2E OF SIZE SERVICE CONDUIT No. CIRCUITS IGHTS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES BASEMENT FIRST SECOND rHIRD FOURTH A -89 APPLICATION LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER /[Q BLOCK NUMBER ;1�/ SUBDIVISION STREET AND NUMB R Rte d i a 7/ / ""� ,(,2� SIDF S OWNER -1 f� OCCUPANT 1 411 OCCUPIED As l -, � BUILDING - -NEW OR OLD (UNDERLINE WHICH) WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF CEILING BRACKETS KIND OF INSTALLATION MASTER ELECTRICIAN BY NO � DATE 2./ 2- 3 19 6 / 2 c ELECTRICAL DEPARTMENT OF THE OF MIAMI SWIM Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. RECEPTACLES ROUGH WIRING FINAL NO CORRECTED TEMPORARY DAYS. DATE ISSUED SWITCHES SPECIFICATIONS STOVES WATER HEATERS SIGNS OTHER APPARATUS OPEN OR CONCEALED KNOB. RX.. BX.. MLDG., CONDUIT. METALLIC TUBING REMARKS INSPECTION WANTED ADDRESS SPACE BELOW FOR INSPECTOR'S USE ONLY RECEIVED BY INSPECTOR INSPECTED PROGRESS REMARKS WILL INSPECT AGAIN FEE REMITTED INSPECTOR /£ � r 3 1•1 s 6s� 1l;; 3 ' iS nummumeraupippormuLL Emisidimmummommurnimm Pling iaMI lo�l shil IF ki Ibei a A q 1 g u , ° w � i sow le I rp a Liu I, I 1111 1111111111111111111.1 11E1E1 i �i � i a 11r IMIMENNIMMEINIV ••••••••••• 1111111111...11111111111•11M NE IIII1HHKIIIIRIIIIIIIIIIIIIIHIIIHII1IIHIIIIIIIIIHIH iip9ili9E 11111111111 1111 EUGENE DIETZGEN CO. NO. 375% 56