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1972 SIDEWALKMiAM1 Si l'r{I ES V0LL BUILDING INSPECTION DEPARTMENT APPLICATION FOR : LJ LDING 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... S L� 4 _!2 6� / 2? _. _: ..._ .._ ,18L Owner's Name and Address 2 / ,` <,1 , �! i.04,, !'� `p� d �_ .. y .. 1. , L Regititered Mhite €t and /or Engineer„... CrifafIL ... J- ..___ Name and address of licensed contractor �� ' %� ' -o. _.. v : " Location and legal description of lot to be built on: / s rl Lot_ v Block / Subdivision./ L ' ..,,.../ _ e:. :� � . tL.�..:��.: � _ _ _ _, _, rte- ",q , , Street and Number where work is to be done ���' .._., C 4 , � L ,� , f , . State work to be done and purpose of building (by floors) < � �� �'✓� =rte -� A, l• GE -- .._...._ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kindof foundat� _ Roof Covering Estimated Total cost of improvements $... +1 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 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. ,,1 _ 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 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 star d are tru Permit No. L_ E "' Date — 7 Read, Sworn to and Subscribed before me. Disapproved - ( Signed) e Building Inspector Notary Public, State of Florida My Commission Expires PLANNIN B ARD 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. MIAMI SHO ES V LLAMZ BUILDING INSPECTION DEPARTMENT APPLICATION FOR EUGLDENU M Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted foe 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 a!! rules and regulations of the iuilding Division of Miami Shores Village shall be complied with, whethee heeeir. s eaified or riot. Ai cepy of approved plans and specifications must be kept at building dueing progress of tho worts. Owner's Name and Address Registered Architect and /or Engineer. u�J�✓... ..��_...�' �� .. ... _...._�_..._... , Ilia.._... t,. Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision..., Street and Number where work is to be done ?I ' State work to be done and purpose of building (by flows) •t s.ad eth purpose,. New Building Remodeling Addition Repairs No. of Sto:.'`C3 To be constructed of Kind foundation. .- ;z?'l fr Estimated Total cost of improvements $... Amount of Permit . Zone cubage required Flan Cubage Distance to next nearest building Size of 3uilding Lo7 Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with cefcreace 10 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 Ceneyal Laws of Florida, Permanent S::pplement, and has complied with the provisions thereof, and will require similar compliance from all co.-tractors o:r sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec'.`c the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su> ntpe..:cro, c: war's 90 he performer near this licensed b Miami Shores Village ■ permit, as are icense y , aami . Remarks (Signed) ct t STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take achnowl smeaats, perso:ially 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, end that he did sign t<,% M ^e, Ma tlzt nil facts therein by him stated are q true. el, r j - , ; , Permit No.._.... / ` � . .. . __' Date Read, Sworn to and Subscribed before e.. Disapproved _ .. �. Date . ,. _.... /? / . Not Public, State on IFiosien (Signed) c -4 Building Insper or My Corr.L °ssior. Eupires Chairman Merr,ber Member ...... w_ Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- in>pection fee of 31.00 will be charged materials and /or workmanship. PLANNING 13OARD D!a77, Member Member M ember .. - -- Date Dimparroveil malting corrections oe ("Ilan,Loan tt Qf-.a c. As:izatt n after a r a ees when such tre-inalssection h rra' tiL: *v3mry L np7,1,71* - : zu'em dc? to me even known, Date h�cn from iuyatittrn on amity 4�GAC 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 ptgress of the work. I • Date..._ Owner's Name and Address L % j . ,!.'4a7e ._. No .... . » -._». Street.... .... »...._ »..» _ Registered Architect and /or Engineer' / �r.Q f`'bc'= . d..._ ©. a. Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved (Signed) 67 - D uilding Inspe or Permit No._ / Date - �3 ._.... Read, Sworn to .. LANNINC BOARD Chairman Jfcrnbcr ...._ Member Council Approved n.r ew. vn:.ae. St A: work to be done and purpose of building (by floors).......... . i ... P .b E' ,ol- _.. _R lV totA v _DATE C ' . »..... , p and for no other purpose. New Building Remodeling Addition Repairs No. of Stories Tp be constructed of Kind of foundation R Covering • 6 p 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 NVorkmen'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, o n work to be performed under this permit, as are licensed by Miami Shores Village. / Remarks — (Signed) `` Bcfore 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, therein by him stated ase tree. and Subscribed before rte. Notary Public, State of Florida My Commission Expires Member Member ....... »...._... . - -- to me well known, and that he did sign the same, and that all facts _ .._. »_.....__ _._.. »._..... _ Member ....» . »..._.... » _...._..�_ 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.