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290 NE 93 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 2`[O lc! Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address Phone a l/l - - ` LI * L Master Permit # 4 Contracting CoK CLV, Qualifier SS# State # Municipal # Competency # Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Address 1 . _. • r / // Square Ft. Estimated Cost (value) r f /W WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF 'I'OU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above - named contractor to do the work stated. Signature of owner and/or Condo President Date K L *M j Signature of Contractor or Owner- Builder Date Electrical 3 A) 757-3s Phone Ins. Co. - /PDrooect carc 441 is/c(9 j?_. ,,W /f- ) Notary as to Owner and/or Condo President Date Notary 5110 c g p ildel: Date My Commission Expires: My Co i n a ireS: Rf3ARITA MONTIEL J . ( : COMISSON NUMBER 3- 0 4 0 /� Q ec797277 `� - co�r ssssIoN EXPIRES 5' ∎ . a , �� ® C. 17,2002 oy) � FEES: PERMIT (..co RADON C.C.F. ° & 0 NOTARY j BOND TOTAL DUF &(2 _< • ee APPROVED: Zoning Building Mechanical Plumbing Structural Engineer PLANNING BOARD AGENDA OF April 15, 1999 Name of Owner /Applicant Brian Sloan Name of Architect/Contractor Salow Architects+ Address of Property, and/or Legal Description 290 NW 93 Street Nature of Request Approval of plans to enclose garage Present Zoning R -15 Area of Present Building Council Action Required ddliami Gores llage L OR ID A Planning Board Action APPROVED 4/15/99 Council Action Side Side Director of Building and Zoning WAS A PERMIT EVER ISSUED ON THIS ?. 6/0 d 1°€ Ato 3 10o / s°0 0 e Area of Proposed Addition Total Area Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code : Front Setbacks Provided : Front Rear Rear None Variances/Zoning Change Section 523. [Quality of buildings generally.] All buildings shall be generally harmonious in character and appearance, including exterior color, with existing buildings in the neighborhood and shall be appropriate to their surroundings. In the event that an application is made for a building permit for the construction of a building, .or the performance of work on an existing building, that, prima facie, would be inharmonious or inappropriate in the manner indicated above, such permit shall not be issued except on recommendation by the planning board and approval by the village council, as provided in Article VI. (Ord. No. 503, § 2, 1 -6-87) � " . I I -- (104, z — -- — r I I 41 ■ v 3746 N w 7r S (o� J4 q 93 RD. lee e l odes 11 „ /0 9 r.1. VV. z 5 4 9 // D Es /4 2 M 3 z s r. n MEM am' e X80 40il 111Ebrairm �i0dp 221 =o MEM 15 11111011111 insizoN e w f iat 9 N. W . /4 r- ef V O 3 h 97 III WE NI Ina 0 1 12 HOP BOO T V o C V b = m i a L 41®111 ? . OMR 9 TH' S T. $ T. /2 /S /6 u 2. 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M 9 20 2/27 23 so bay 93 R D• IHiiIi9ii s 77 (4 0 • 0 F Lai 44: ; 1111196 /2 /1 9 8TH 5. 4111:t ant a =m << qi O /0 2 /3 7 Q /7 /4 /. /2 /0 1/ 2 / ■ 9 /0 20 so /413/2/l/0 So 7� e 9 131 9IA 7 7a e 09 / ST. r 2 // /ot/ .,I 0 2/ — 1 4 (56\ ' 0 -- - - -N cfri I� 1 II I L. _ L - - -� .W. 113110 /s I 4 Z VV 3.986 -- sr. \14 ) " � r ° �- u� O •N • S T. 9 4T14 R 4 .7s S 7/s [o� l4 i /6 so /7 /1 /9 0 /00 5 T. e Z1 6 L 9 7T"• 5 7 2� 7 22 7 72 r'I S� Q- 7 I/G / � / 4 / 9 /2� ML'vII SHORES VILLAGE PLANNING & ZONING BOARD VEE T Th G APRIL 15, 1999 The regular meeting of the Planning and Zoning Board was held on Thursday April 15, I — 1999 at the Village Hall, commencing at 7:42 PM, with the following present: Norman Powell Jim McCoy Max Wolfe Sturman Richard Sarafan, Village Attorney Also Present Frank LuBien, Building & Zoning Director Veronica A. Galli, Recording Secretary All witnesses expected to testify were sworn in at this time. Mr. LuBien informed the Board that with the recent election of Mr. Blum to Village Council, the Planning and Zoning Board needed to elect a Chairperson. Mr. Sturman moved to appoint Mr. Norman Powell as acting Chairman until the Planning and Zoning Board was at full membership in the near future. Mr. McCoy seconded the motion and the vote was unanimous in favor. ITEM #1 M MUTES MARCH 18, 1999 is a ITEM #2 REQUEST FOR APPROVAL OF CHANGLN;G ROOF COLOR FROM WHITE TO RED. Claude & Irene Jean - Gillis 9338 NW 2 Place s. il Mr. Sturman moved to approve the Minutes as presented. Mr. Powell seconded the motion and the vote was unanimous in favor. Mr. LuBien stated the applicant was not present and Mr. McCoy moved to table the item. Mr. Sturman seconded the motion and the vote was unanimous in favor. ITEM #3 REQUEST FOR APPROVAL OF PLANS TO ENCLOSE GARAGE. Brian Sloan 290 NW 93 Street Mr. Sloan stated that his house had been broken into three times in the past and the open garage area was used for access during the robberies. He also stated that the enclosing of the garage would be a security reason. After a discussion by the Board, Mr. McCoy moved to approve the request as submitted. Mr. Sturman seconded the motion and the vote was unanimous in favor. Permit No. -- -S- 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 regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address -- ^ ______ _____.___ No Street Registered Architect and /or Engineer __.__ _ E mploying Plumber Name- __ „_.. __________________ ... ._...... _.__ ..... __._............ _..... __. -- No.___..---- .----- _--- - - - - -- Street Location and Legal Description Lot- Block -. -- -- -_-- _ _--- __ -- -- Subdivision __ -_____. _________ _ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank_ _ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from WelL Size of Soakage Pit Nature of Water Supply: .... Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING :NSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed): Plumbing 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 5ov86, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 Euch sub -contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. (Signed)._ Date Street Master Plumber. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon orth 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 fec therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N5 TOTAL FIXTUREt CONTR. LIST CHECK -_- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATS% DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK Permit No. -- -S- 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 regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address -- ^ ______ _____.___ No Street Registered Architect and /or Engineer __.__ _ E mploying Plumber Name- __ „_.. __________________ ... ._...... _.__ ..... __._............ _..... __. -- No.___..---- .----- _--- - - - - -- Street Location and Legal Description Lot- Block -. -- -- -_-- _ _--- __ -- -- Subdivision __ -_____. _________ _ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank_ _ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from WelL Size of Soakage Pit Nature of Water Supply: .... Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING :NSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed): Plumbing 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 5ov86, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 Euch sub -contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. (Signed)._ Date Street Master Plumber. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon orth 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 fec therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR 3LIILDING 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 Vill, 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. /(� L/�� Owner's Name and Address Date /`7 No Street 19 Registered Architect and /or Engineer.___ Name and address of licensed contractor r Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done....2__ ._Pi State work to be done and purpose of building (b floors)__��.�i..,.�2'� %i`� g • - and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation. Roof C 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 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 i.' . tion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ..' .. ractors, on w to be performed under this permit, as are licensed by Miami Shores Village. Remarks Signed) STATE OF FLORIDA, 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 him stated are true. Permit No._.. °� Date 9' f Read, Sworn to and Subscribed before me. Disapproved D (Signed) ._. Notary Public, State of Florida B 11 mg nspector 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. ' ∎c4 •.) \� SOLD TO YARD JOB ADDRESS DATE CHG. NO. I PD. ON C.O.D. LOG NO. SLSM N9 1643 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , Owner, Agent or Tenant of Building Lot Block Subdivision Street Address Approved use by occupancy Remark s. This Certificate of Occupancy is issued to the above named V V for building at above named location only upon the expres3 provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION PERMIT NO. DATE FEE TEMPORARY SERVICE / -, BEAMS & LINTELS g- -j J- 4, . $ J%j - SEWER FRAMING S SOLAR HEATER $ GAS $ $ FINAL DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP CONTRACTOR - PHONE PERMIT NO - DATE - r FEE $ /.4!: ' NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE / -, $ SEPTIC TANK ■ - $ J%j - SEWER S SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER SEPTIC TANK /7- /7. . j SOLAR HEATER FIXTURES - -. FIXTURES & FINAL - - CONTRACTOR'S PHONE PERMIT NO. DATE FEE S NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE / -, H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL - - BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL. PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY OWNER'S NAME Mr. & Mrs. Campbell PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 290 N.L. 93rd St. LOT 1 -2 BLOCK 26 = SUBDIVISION MSCSec. 1 GENERAL CONTRACTOR Patrick McCarl ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO.. 13521 p [ DATE 8- 5 - 5 2 �r�'�1� PERMIT FEE$ 1467 BOND NO. 1 4 6 7 DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 2H, 662 CU. FT. EST. COST $ 20,000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE X NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION tile INTERIOR CONSTRUCTION oak and tile floors, plaster REPAIRS DESCR IPTIO Valls and ceilings 3 bdrm. - 3'. baths livi'lE room -Fla. room.eini A room- kitnhen- EprAEp -rRr ALTERATION DESCRIPTION port ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS - RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO.) //-- I ISSUED X. I I ° � BY / &Ai ,, ,�f TO ` 'V , " BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE Di 1111. a ti lir ' S. `t- - tor er ,. _.... f W 41) ion Lot .. Bl. Subdi- vision o f Value of Project $ Amt. of Permit BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Archite Contras or Build Legal Descrip Addres Buildin 1 MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 13521 CONTRACTOR OR BUILDER Work to be performed under this Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved b, the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• BY INiPECTOR In consideration of the issuance to me of this permit I agree to perform - the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY • to re-occupy the single family residence known as : (address) 1a 1 Q 93 - , Miami Shores, Florida. Legal Description: Lot: Block PB & PG: I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. D Applicant SL) Q- Print Name *********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: 71 Contact Name: S 0 s / e— CLULAS Telephone: I� / X Buyer Comments: APPLICATION FOR CERTIFICATE OF RE OCCUPANCY Seller Realtor . Company Name Application Fee ($50) paid: Cash Check No. , hereby apply for a certificate PAGE 1 OF 2 Date P 9 Inspected by: Approved Denied Date CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has bee inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. THIS CERTIk ICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE-FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERfl1 ICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 MIAMI SHORES VILLAGE, FLORIDA By: Date of Certification: Approved Correction Re- Insp'n Fee 1 : 1 1 4 8 OCT 1 9 2005 MIA SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 Type Insp'n Olt\ Permit No. t L2 - 3 G05 —3i Name 114,. - T0f(!. Address 9, 10— q31 Company � 1�c► 5uvl EiWf L, Phone # ( RS- ZS 41 L UIS Inspection Date 0 NOS (62? ,tom cZ ,2 / S � f`- i"r 77Z, ' /ty /t/ /•.�/ YZ'? c- ma c/ BUM"! I DEPARTMENT APPLICATIDN FOR BUILDING PERMIT STATE OF FLORIDA, p COUNTY OF DADE. ss. MIAMI SHORES VILLAGE' 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. l a Date yee h _ , / Owner's Name and Address G I6 6v z_:__,_ "' -ai� lf ' / / Registered Architect and /or Engineer _eV � 4l_ __,! { 1 . e' 4Ce; Name and address of licensed contractor /2)= "¢ � <' � t/% / ''� )) - / /. % ,/ r%' `. (Signed) Location and legal description of lot to be built on: Lot =s Block 24 Subdivision__._ _ Street and Number where work is to be done ' ��j' l Tom, State work to be done and purpose of building (by floors) _co) 77 Disapproved ____a Date 7 1 7 / No Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stories r' Roof Covering To be constructed of___ F Kind of foundation 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 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 inspe on 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 ctors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 Sys that he is the of the above described construction, that he has carefully read.e foregoing application, and that he did sign the same, and that all facts therein by him stated are true. %° , / - ,; - 7/ • --. - "S Permit No L-i <, _' -2 ' Date___ _ _ ; '' % �c _ Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Insp ctor My Commission Expires PLANNING BOARD DATE Chairman Memb 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- :nspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. N P N. 33x' ST s '5 , e c /00. /00.00 A //ey SKETCH Lots 1 and 2, Mock 26, Allic:ncled Plat to the plat thereof recorder. in Plat Dade County, Florida, For Murdoch 'ampbe i 1 , 495 ?'E 65 Ste Viami, Florida. , Zo 4 0 - 1 R' 4 N N OF SURVEY on of MIAMI SHORES Section Noe 1, according Hock 10 at Page 70, Public T?ecords of Sco /e. / "= ioo' /Yofe . Dimensions shown ore / om 'co,- e P /of Miami, Florida - - Nom. 93ra' ST N 92nd ST Ju.. _5.o I HEREBY CERTIFY : That the attached "SKETCH OF SURVEY" Lots 1 and 2, H1ack 26, Amended Plat of HIA " SHC7?fS Sr " +' - accordinr to the plat recorded in Plat Pock_ 1..) at I've 7 7. P..:.'.'. 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