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1236 NE 93 St (4)Registered Architect and /o 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. Owner's Name and Address.. /1 Name and address of licenseded- o- ctor.SS4 Yc -Z AM) 26 SY Location and lega description of lot to be built on: Lot_4 e ZS Block Z Subdivision i AyL ed ae E AA E 4°3 ) J State. work to be done and purpose of building (by floors)___fi.T A .__._. . I/4�9 u �_..... . l.Q. .0.1 11 •..... a . n_.s E x.t. "T. Res Street and Number where work is to be done ...... 6 CAg. DA 1412._ and for no other purpose. Date si i9a No /& 3 G Street. Ai E 7 S New Building Remodeling Addition V Repairs J) To be constructed of_.__ l . .. Kind of foundation Roof Covering 114 4111 Estimated Total cost of improvements $ 4 Amount of Permit $ 2 - S¢5 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 ork to be pe ormed under this permit, as are licensed by Miami Shores Village. � Remarks ( Signed) (,® ` No. of Stories STATE OF FLORIDA, I COUNTY OF DADE. 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 hire stated ire true. Permit No Disapproved Dat (Signed) ... Date.__ 3 ✓ 6 / Read, Sworn to and Subscribed before me. Notary Public, State of Florida Bu lding Inspector - My Commission Expires PLANNING BOARD DATE Chainnan 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. v� 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 $to of Florida all rdi awes .f Miami Shores Village and all rules and regulations of the Building Division of Miami S res Village sha)1ie complied awes with, w ether 11 - ein specified or not. A ccpy of approved plans and specifications must be kept at builds during progre th 'v c. D , 4 �/ Date ., , 19.fP./ Owner's Name and,Ad & -ie 9 2 r/1 e- L 't No /a 3 6 Street A" 9� sr" it Regis red Architect aor ngineer 6' /9 /R 1>' ,L L. J�7- it - I6h4 n / nd aAr�W 4f ' 'd contract9r._5 4 y 1 S° 44 Z�?C3_ ._- 97 /P/IV 2,' Sr ___ - Location and legal de of lot to be bui t on: /J Lot_.t e .e- / CA" Block Subdivisiorr4. Street and Number where work is to be don yied 04 3 + 1 New lading Remodeling 'Tr/$bnstructe1 0L..../A-14 I._ Kind .f foundation Estimated Tot �ry3 p5 improvements $ /45. Zone cubage required Distance to next nearest building Maximum live load to be borne by each flo The undersigned applicant for this buil of labor under the Florida Workmen's Con and has complied with the rovisions there in the work to be performed under this per or notices as are required by the Act. The u permit, as are licensed by Miami Shores Remarks STATE OF FLORIDA, COUNTY OF DADE. ss. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BiUILDIN I3 PERMIT Chainnan ..... Member Member .. Council Approved Date iZ3_6 " g rk to e�one p rpose of build g (by floors) ___.4_ Inoum. - u ,r,ylit $ and for no other purpose. No ofSt Roof .vering I7._.L ell Plan Cubage Size of Building Lot I hereby submit all the plans and specif cations for said building. All notices with reference to t e building and its construction may be sent to ing permit does hereby certify that he understands and a ensation Act, being Section 5966, Compiled General La f, and will require similar compliance from all contractor lit; and will post or cause to be posted for inspection on t dersigned agrees to employ only such subcontractors, o age. 'notary public, duly authorized to administer oaths and take acknowledgment!, personally ap- Before me, the undersigned authority 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 stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida PLANNING BOARD DATE cepts his obligations as an employer s of Florida, Pennamrnt Supplement, or sub - contractors employed by him e site of the work such public notice work to be per ormed under this My Commission Expires Member Member Member 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. w‘am.