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270 NE 92 St (10)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PPLICATION 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 pf the work. Date Owner's Name and Address _. /fQ / c�-i'� ems• ' �__ No.2__ Registered Architect and /or Engineer fl° 644/f Name and address of licensed contractor Location and legal description of lot to be built on: Lot_ Block Street and Number where work is to be done 2 7°° / - State work to be done and purpose of building (by floors and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of__A3.t2/__C'_K_____ Kind of foundation 12 ''_r o ,-'&' ' 4 6_ A-2 oltS vexing Estimated Total cost of improvements $ ;/. _Amount of Permit $__ _____ Zone cubage required_ _ _Plan Cubage Distance to next nearest building _______Size of Building Lot 2S X- 4 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 in ,! - ion on th site of the work such public notice .contra. ors, : ork to be perfo u un. •r this Remarks (S .10P / or notices as are required by the Act. The undersigned agrees to employ only such permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, p 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 s — true Permit No ` Date Read, Sworn to and Subscribed before me. Disapproved ( Signed) Subdivision Notary Public, State of Florida , 19` Street .g T6 92 41 .377 Building Inspector , My Commission Expires PLANNING 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. t . 7S l3 2,c / 14v/14 3 ' /�. ` �fi 4 9p e , - XjZ4 c� l 77 4 t Owner's Name and Address Permit No Disapproved -_-- (Signed) ® W J dlaf R eel 2. o icizez.0 g e - — Buil. rng Inspector MIAMI HIES VILLAGE Date Date_ PL 0 BUILDING INSPECTION DEPARTMENT APPLICATION F UELDINS PE '9T of e27 W Fal_ -X 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 - No.,2. 7O_. _. 6street Registered Architect and /or Engineer. Name and address of licensed contractor S 6 1 - X/IrE. 4 3 / /9C C Location and legal f description of lot to be built on: A �, Lot _ `'t- 4 Block 25 Subdivision__. ' Street and Number where work is to be done /2/ 2 ' ' S r ING BOARD DATE ,19 2 $ State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ � if � � Amount of Permit $ 1 a. cso 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contracto :..r sub - - actors employed by him in the work to be performed under this permit; and will post or cause to be posted for insp tion o s' of t• work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ji bcoctor .r be, fined 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 stied are true. 1/- /7_t6 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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. 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 Registered Architect and /or Engineer Name and address of licensed contractor Buildin Ihsbec MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT e fA Disapproved —Date., ( Signed) No Street 0 Date..._ , 19 S S� Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ? 76 X" State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foou dation Roof Coverinns Estimated Total cost of improvements $j Amount of Permit $ � d 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 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. 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 state are true. Permit No I r Date 9° 13 ' Read, Sworn to and Subscribed before me. 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.