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922 NE 91 Terr (10)/ eo 0 MIAMI SHORES VIL AGE APPLICATION FOR BUILDIN PERMIT 3/5 Application is Hereby made for the approval of the detailed statement of the plans andt specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conf(irmity with the Building Ordinance of Miami, Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordina ces 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. New Building Remodeling To be constructed of 4 f Kind4f foundation Estimated Total cost of improvements $ 0 Z2 Distance to next nearest buildin Zone cubage required STATE OF FLORIDA, COUNTY OF DADE. } SS. Disapproved Date (Signed) Before me, the undersigned authr ty not ' public, d 3 utho peared Building Inspector BUILDING INSPECTION DEPART ENT PLAN ING BOA Date Notary Myfommission , 19___Y Owner's Name and Address Registered Architect and /or Engineer ' C ° ° � Name and address of licensed contractor ��2� /? "' i, Location and legal description of lot to be built on: 45.51"' 76741 /5-/-c..,,,,,,& Lot Block Subdivisi6 �"°'� s ��,� _ ^� ?!'" Street and Number where work is to be done 9 .2 / !� State work to be done and purpose of building (by floor's) -_ -- 4-_- 1 Street__ _Plan Cubage __Size of Building Lot_r___✓ ,L �'= , State of Flori } and for no other purpose. Addition Repairs No. of Stories A __ _____ Roof Covering O= o-a Amount of Permit Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with refeience to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he underst• rids and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all icontractors 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 subco tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. � ', Remarks__ ( Signed ter oaths and take acknowledgments,.personally ap- i - -- i to me well known, and who, being by me first duly worn, upon oath deposes and says that he is the j of the above described construction, that he has carefully read the foregoing application, a4id that he did sign the same, and that all facts therein by him stated ar tr e. °` '� Permit No Date Read, Sw. to . .: scribed before me. ©Mry Pu Dllc 3�s'e �f O%rag reCi i t r y eommTciion expires. January Ili, 1950 Bonded by American Surety Co. of N. Y. _DATE Chair= ! - Member Member __ _ Member Member �_ -� t: - _ _ < _ Member Council Approved Date Disapproved 1 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 $1.00 will be materials and /or workmanship. charged when such re- inspection is made necess$ry by improper notice for inspection or faulty 4 Name nd address of licensed contractor Location and legal description of lot to Lot ?"1 1__` _6 Block.._ New Building. X _ Rernodeling To be constructed of CBS_ _ _ Kind of foundation MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN APPLICATION FOR = ;UILDING PERMIT Application is hereby made for the approval of the det,iled statemen• of the plans and specifkaiions herewith submitted for the build- ing or o h -ructure her 1 described This t-t licat;c. is made in compliance and con o'm ty w.th the Building Ordinance of Mia ii Shores Village, or da, and all pro isions of the Laws cf the State of Fkrid. all o d nances f Mi ni Shores Village and all mu]es and regu a ion. of the Building Div . i of lam Sho, iilage 1 'I e -co ipl.ed with, whether herein specified or not. A copy of approved plans and specificati Tip• must be kei at bui :cling durin progress of tl.e work. Owner' Name and Address Grady Sullivan No 9 2_____ ____ StreetN.E' e__ 91st__TerraCe Registered Architect and /or Engineer__ NOIle___ None uilt on: Subdivision B[6 erA YNN i R l Street and Number where work is to be done 922 N.E. 91st Terrace State work to be done and purpose of building (by floors) Construct 6 x 8 Concrete Block Bldg. to be used as a tool house and for no other purpose. Addition___ ___ ___ ____ __ _ Repairs_ _ _ No. of Stories .1 . Con. Roof Cov ring.Bullt�up Gravel e Estimated ;tal cost of improvements $_ Amount e.` Permit $. . �a Zone ^ubage required_ .._ _Plan Cubage _ � / -p _�0 Distance to next nearest building_ 50g __Size of Building Lot 75_ _ X 140 1 9 d Maxunnm live load to be borne by each floor hereby submit all 42e plans and specuications for said building. All notices with reference to the building and its construction may be sent to Gradyullivan. 922 N.E.__91st Terrace The uncle signed appli ant for th s building permit does hereby certify t'lat he understands and accepts his .•bligations as an employer of 1• bor under he Florida Workmen's Coinpensation Act being -tion 5966 Cot p led Gen al Laws of Florida P r anon S•ipplc cent. and h s comp' ed w'th he prov'aons thereof, and will require sniilar comp lance from all contractors or sub - contractor:; cinplo .ed by him in the wo k to be p rf med under th s pern it and ill post or cause to be posted fo ' nspection on the site the work su :h public note c or •otices as are requir d by the Act. The u. d. r ign d agrees to employ only such `4�.contr. ctors, on wor'• to be perform d der this permit as are licensed by M am. Shores N it : ge. Remarks_ Qwner- Builder _ (Sig -ied ) Date A115t 5th 19 53 STATE OF FLORIDA, COUNTY OF DADE. Ss. Before me, the undersign d authority, a notary public, duly authorized to administer oaths c.nd take acknowledgments, personally p p- peared _. ___ __ ___ Grady. ...Sullivan y 'wor ruction and who, being by me first of th abov de •c ibed therein by him staffed are t Permit No. Disapprov igned) ._ Date__ ( Pat A-1 Building Inspect Chairman Member Member _ Council Approved NOTE: A charge of $1.00 wi the Planr ng Board A re-mspection fee o $1,00 will materials and /or workmanship. , upon oath depores and says that he is the ___ _ caner li has carei,illy read the foregoing application, and that he did sign the same, and_ t -, at all facts PLANNING BOARD .Date Member _ Member Member Disapproved Read, S d Su../ribed befor otary Public State of Florida Npte!y N. !':e to me well known, My Commission Expires_ vi _ _ i viT - riMissuDri DATE Date made for making corrections or rihanges to this application 'ft'-r approval h is been obtained from be charged when such re- inspection is ms :e. necessary by improper notice for inspe. t or or fai ity : ' 7 / • , ci 3 3