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M1A&M1 51- 1©PES VILLAGE - BUILDING INSPECTION DEPARTMENT 42411)4.1. F"... { q >> + APPLICATION FOR BUILDING PERMIT RMIT - s, r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the ing or other structure herein described. This application is made in compliance and conformity with the Building. of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village am age 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. - , 19 GO Registered Arlitect and/or Engineer M. M- c) tsk71_,P,,. Name and address of licensed contractor ,S_OIS CU __C ti Location and legal description of lot to be built on: Lot ' L - 1 Block *3 Subdivision ' ( ` J e_k.,.v t _ F D) VZ Street and Number where work is to be done J0°.0 �• qvo � C • State work to be done and purpose of building (by floors)._ i C L s- 1 i L'( p c] [-.►,� �_ ------------- - - - - -- and for no other purpose. New Building ✓ Remodeling Addition Repairs__._ No. of Stories 0 V To be constructed of C. k3• S Kind of foundation C • Q_►_J C • • Apo ring �i ka Estimated Total cost of improvements $ I , t - — Amount of Permit $ Zone tuba a required 2 O t_. 0 ' ' g q ..4- 4 _Plan Cubage Distance to next nearest building - Z0 1. - k� v` _Size of Building Lot -_ll L•' A. ck Maximum live load to be borne by each floor A 0 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 qq b�1 gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of lor'da, Permanent Supplement, and has complied with the previsions thereof, and will require similar compliance from all contractors oy sub- ontractors employgd by him in the work to be performed under this permit; and will post or cause to be posted for nspection on site f d work such public notice or notices as are required by the Act. The undersigned agrees to employ only such guj c ap tractors, , 6n wor 0 be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)_ ' 401 -_ 1 • STATE OF FLORIDA, I COUNTY OF DADE. ss. Disapproved - - - - -- ---- --------- - - - - -- Date (Signed) Building Inspector Date 1 11 c Before me, the undersigned authority, a notary p ic, duly authorized ta` 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. Date Read, Sworn to and Subscribed before me. • to me well known, Notary Public, State of Florida My Commission Expires PLANNING BOARD_ 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. L, Order # 2 33 64 F. 0.#89I.26 . tit-7 9,c /7 /1/4/t7 efe'er IOD' For Joe Cherney ,DI:3CAYNE ENGINEERING COMPANY Civil Engineers Miami Florida /2272' Q / 2324 25 26 2a" i , ca /e / - -/ 2' OKETCH OF BURVEY Lot 8 and the West 37.5 'feet of Lot 7, Block 3, BELVIDERE PARK, according to the plat thereof recorded in Plat Book 16, at Page 71, of the Public Records of Dade County, Florida. December 11, 1950 Scales, shown WS, HEREBY CERTIFY: That the attached "SKETCH OF BURVEY" of the above described property is true and correct to the beat of our knowledge and belief aa.reoently surveyed and platted under our direction; also that there are no enoroaohn ente 'unless shown. thereon. B /SCAYNE ENGINERRING COMPANY •' eo' enne gi eltered Engineer # 145 Regi tered $urvoror # 46 SATE OF FLORIDA PiPg �r. j - 475 9co /a C.10' • r ft § L\ O\ 0 \ toLt 0 T 2 2t \\ I.) L O O) - & .r| 2 5 2k4'$ • .. \ j: \� y \o\ f , \ }// \rf f L 4111 . L' .V . dA\ w \ \ \ ?Ai) Lt . % \ d \ \ 6 § ( / # . . . \\ \ ?y a \ (r §1 $\14 "r /- ��4::���� §� .... 10" 4 ff . g»