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335 NE 93 St (11)rff,3_ �s7/ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement in 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. .9 d • ,� Date / .. _...__. ....�.._._.__Zhe. __..._... ,19 a Owner's Name and Address ... !4.r.... � deco :..._ � L... � ,40.'$0.% �1.._.. . Street .e _ 5r Registered Architect and /or Engineer . •... •I i / t4s$acter /c� „ /� . Name and address of licensed contractor ... Z.e' k"CN, ge�'1rrit .. d�!.',(T'��t lo�... r. Location and legal description of lot to be n: built Q ,�� / // �( Lot 17 �' )- pock � Subdivision. t5 /43e'` . (....4A. _....J.1_ .tz ii ( 5 Street and Number where work is to be done 335 .E. ti. ..ST_ .._ z. © G State work to be done and purpose of building (by floors �.I . E.D . .1/.0240M -CtS.. _...[ Arlo 3L (-4-4)5E I REptci ... . NN i &..DoW � Ei!.CbS . Mtue¢. tdtL'�2.41114�?.5 d for no l other u p� r p o p AsT s New Building Remodeling ✓ Addition 1 ,.. Repairs No. of Stories 1 _ To be constructed of G fas Kind of foundation... Reft.w. tK / s *elRoof Covering T /L-E ON 600'OdI47 •• 1 tt iQoo� Estimated Total cost of improvements S•// 8460 Amount of Permit L... 1!t'1.1. � Maximum live load to be borne by each floor Zone cubage required 6e 44eenet 46.44i1 SAW/4s plan Cubage Distance .to next nearest building. Size of Building Lot oe 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 arbor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sop »lenient, and has complied with the provisions thereof, and will require similar compliance from tractors or sub - contractors employed by him in the work to be performed render this permit; and will post or cause to be posted for d -*�t�- lion on the site of the work such public notice pcnnit, as are licensed by Miami Shores or notices as arc required by the Act. The_ undersigned agrees to employ only such s • � • actors, on work to be performed under this t Retnuks (Signed) op. - , / - SAG. Disapproved (Signed) Building Inspector 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 thcreim by him s stated ewe.. I Permit No.. _ _.. q � _. _._ Date 1 li � � 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 Plannilig Board. A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty nratcriala anti /or workmanship. 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 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 Division of Miami Shores Village shall be complied with, whether herein specifief•;or not. A copy of approved plans and specifications must be kept at building during progress of the work. 1 1 / 1 f� DD � /� ' / Date , <Z30 C ! I9 a Owner's Name and Address / /J2 �7 MBB /E., ��/J 5� /Y � No. 33`� Street AO % e 3 S7 Registered Architect and/or Engineer k e R2 eR E y� r (y /+ /N� f /V 7 / ASS SS Q c • .2.1 .2.1 (e , Name and address of licensed contractor /24� 4 i t'L oacs 1 /9h & N2) y /1•/`77 7t2 70/ Location and legal description of lot to be built on: , A /PO / Lot Z / — 2— � Block Subdivision '! / &1J / SNMt - / 9 // 7 .Z/�b /J X - Street and Number where work is to be done 3 3 State work to be done and purpose of building (by floors), state exterior colors (submit samples) n m- pev p4-77.2 and for no other purpose. New Building Remodeling Addition] Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 1‘ 7P1 Zone Estimated Total cost of improvements $ 17194) Amount of Permit S 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 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 obligatons 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 subcon rectors, 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 appeared 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 c / o�nsst�rruction, 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. J J'/ 1 Date )///f0 /f 0 Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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...:. —02J Registered Architect and /or Engineer Name and address of licensed contractoi - ` -t - - =� . A – C ., 7 Location and legal description of lot to be built on; Lot Block Subdiv' ion Street and Number where work is to be done "36 4'22. 19. State work to be done and purpose of building (by floors) , Disapproved (Signed) and for no other purpose. • New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering (70 - 70 _ 04., Estimated Total cost of improvements $_�F"_ ?..t? • e d 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 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ d 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 /)lie notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra s, on ork to be perfo e under this permit, as are licensed by Miami Shores Village. Remarks (Signed ._ __ ....__^ _ _ .., r?l � 44p STATE OF FLORIDA, j 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.___l9_�__�t� C Date Date Date © . hi4�m' r stx :.: d'rs1.5 2P - ?1 �1 Read, Sworn to and Subscribed before me. ,19 epi Notary Public, State of Florida Building Inspect My Commission Expires PLf NINC 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.