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WINDOWS/AWNINGSState wok to be done and Ncw Building Remodeling To be constructed of APPLICATION FOR BUILDING PERMIT .Application is hereby spade for the approval of the detailed statement ut 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'n( the State oaf 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 specilhied or not. A copy of approved plans and specifications must be kept at building during progress of the work. rft ��// Date..._...?- / -_' -- c .._.... 19. (� Owner's Name and Address ������H& e c A _ No'7►.'.u!a' Ale: Str 3 T_Ai ;/97 4/5" Registered Architect and /or Engineer t.... ...•••,,. .......... .. .�t:,/i2,Q.4../ 4,A,) '7 r... /4'Ve Nuns and address of liccnsed contractorJE 1 ,Y.lII24 .6.6.7 4 6 ;6eCC III L_ . i9L^..'1. '... . _3 3!6 C Location and legal description of lot to be built on: Lot g Block - - 1 Subdivision. .. ,4..6 ' g .._.._.._JI A._... r 'J r Street and Number where work is to be done .. 6... 6' _ i 3 ...5- ', S /'i'1 urposc of building (by floors) _ . . . GO C Y'rs -? .. _.J `E'T'✓ /^! ( r7i'0 6_C .6/u 4)6S • c41J Ef. and for no other purpose. Addition Repairs No. of Stories _ Kind of found pe Roof Covering Estimated Total cost of improvements $... `Y °a' Amount of Permit $..../. - ' • Zone cubage required plan Cubage Size of Building Lot Distance .to next nearest building 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 tbur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid., Permn:tnent Supplement, and has complied Stith the provisions thereof, and will require similar compliance from all contractors or sub- tractors employed by him in the work to be performed under this permit; and will post or cause to be posted for spection on the site o, the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such s r ntractors, on , / o be performed under this pcnnit, as are licensed by Miami Shores Village. Rem.uks (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 SCi --taw Gc 7-sn't,C_ and who, being by me first duly sworn, upon oath deposes and says that he is the. C"At`"'"""‘,. 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 `i .1� Read Disapproved �_.. e _... , Date (Signed) Building Inspector Chairman Member Member .. _.....__..._._..._._...._.._.._ Council Approved Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT worn to and Subscribed before me. Member Member Member sass_ to me well known, Notary Public, State of Florida My Commission Expir4p .T.gj(?.-4J8LICST.EITI.PF, FLORIDA 1 MY COMMISSION EXPIRES JULY 25 1967 PLANNING BOARD DA'1QENDED THRU GENER ^l "S Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application niter approval has been obtained from the Planning Board. A rc•in'peetion fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anu /or workmanship.