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422 NE 93 St (5)Disapproved ____ at (Signed) Building Inspector MIAMI SF:1*R= VDLLASE BUILDING INSPECTION DEPARTMENT APPLICATION FOB" 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 t . cl.! e' Registered Architect and /or Engineer 1 _ Name and address of licensed contractorCA 53.1..0 c) M" t' e - & • Locati and legal description of lot to be built on: Lot i ... q l° Block y Subdivision_P 6 4. J r"' Street and Number where work is to be done ` 2-.. ' . V_ � ~ y OF r y , State work to be done and purpose of building (by floors) I®®_ �7Z. tte I- 8 — - I ( , 19 No 4 4 : 4• - a- Street_ �" • �__�� and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering en6=• Estimated Total cost of improvements $...2.4:71417') 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 SuPpleinent, 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)-.- �•- �Sl';,_.____ 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.__.__ f 9 Date - 7 f 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 I'l:uuiing 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. D z INSPECTIONS Made By Date Approved Yes No Fnd Column Cap Final METROPOLITAN DADE COUNTY •' BUILDING AND ZONING APPLICATION FOR FENCE OR WALL PERMIT FOLIO NO. Owner's Name 13 1)C y / &. • Mail Address L-1: kJ •e 9 Contractor O)3 .J E 2to To kl e✓rai41110 '*1 CE Mail Address ,,/ 6 ° / ry • () 6 / S LEGAL DESCRIPTION OF JOB: Lot No. 9i/ 0 Block No. Ft Subdivisionfrf IAk so-0 izE5 - 2 P.B. &Pg. f 0 - 3 1 or Metes & Bounds Sec. Twp. Rge ADDRESS OF JOB L ZZ 0.g" 'I d C J Type of Fence or Wall: Other (explain) -, A I ^' /"1 hK' �GIJ Proposed Height of Fence or Wall 4 � Existing Use on Property Is Fence or Wall intended to enclose Swimming Pool (See Note Below) 123.03 -03 Wire IV Masonry PLOT PLAN PROCESS NO. At Wood ) A O 67u a Zoning r m Structural Z APPLICATION APPROVAL J J THIS PERMIT DOES NOT BECOME VALID UNTIL SIGNED BY AN AUTHORIZED REPRESENTATIVE OF THE DIRECTOR, DADE W COUNTY BUILDING AND ZONING DEPARTMENT AND ALL FEES PAID AND RECEIPT ACKNOWLEDGED IN THE SPACE PROVIDED. 0 1- Use space below - Show lot dimensions, Street(s), Structures and fence or wall location. NOTE - If fence or wall is intended to enclose swimming pool, furnish complete data as to type of construction, location of gate(s), dosing and locking devices, etc. INSPECTO:t'S COPY F- < R /W: Off. Ded FOR OFFICE USE ONLY Permit Fee Contractor Qualification: Cert. No Qualified to do work: Yes No By PERMIT NO. Checked By: 1 2 r1 \ (Signature of Applicant) Date of Application APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 .. ...;4 ° 7 4 /...r..lt Registered Architect and /or Engineer .... .... ........ .. :!,- , .... Name and address of licensed contractor 2 Location and legal description of lot to be b It on: Lot q Block A Subdivision filt . . . Street and Number where work is to be done y. State work to be done and purpose of building (by floors) ! fT Oeiv,9 ® 1'(/ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation f fcose ring — Estimated Total cost of improvements $ 424 ( ' C ' 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 Building Insp Chairman Member Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date..._... .... 2'l No. .... s_._ O 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 subco n ors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. j Ss. Before me, the undersigned authority, a notary public, duly authorized to 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 b/? � state yy J Permit No.__.. _.___...._.__ Date Read, Sworn to and Subscribed before me. Disapproved ,�- 7 /f %! Notary Public, State of Florida (Signed) My Commission Expires LANNING BOARD DATE to me well known, Membcr Member..... ............. _..._..._.._...... — Member Council Approved Date Disapproved Date NOTE: A ch.irge of $1.00 will be made for making corrections or changes to this application after approval has been obtained frrnn the Planning Board. A re inspection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.