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47 NE 93 St (4)Owner's Name and Address . Registered Architect and /or Engineer STATE OF FLORIDA, COUNTY OF DADE. Ss. Disapproved Date (Signed) MAM AFFU 11 a FO IL RE8 Member .. _.. Member Council Approved U LDBRIC BNSPECTBON DEPARTMENT 11LLAGE 1NG 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 BuiIdin 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 , 19.... tvo Street./ Name and address of licensed contractor _ Location and legal description of lot to be built on: Lot_, - - . ", . Block Subdivision Street and Number where work is to be done 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 Cov - g 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 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) --• -- --1- /� A , 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 'ZD_ Date 4 -6, Read, Sworn to and Subscribed before me. Notary Public, State of Florida PLANNING BOARD DATE Chairman --------- . Member Member Member My Commission Expires 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. �GP�E.tJ 139 c— Ca T.:■ ®s r 1.1) C,Bc5c- PL-d2'1 Jt.�oe Q 0 = ` _I M. .41r y - I1•�°� ,- H."a_. CJ� c -a, 4- 6 It :rein rks.- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, gerz ed Ct nnan Member Member ______ Council Approved w AM.] S H U EE VILLAUE CSUOLIOf °G ONS' EC lO[ I DEPARTMENT QFFLOL A O 9 FOR = LEI—DING PE Application is hereby made for the approyal of the detailed statement of the plans and specifications therewith submitted for the bantl- ing or other structure herein described This application is made in compliance and conformity with the Building rdinance of Miami Snares Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and reg^.r. ations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved p "_--s and specifications must be kept at building during progress of the work. ✓ Date. - , fl�_��• ' Ncr a and Address_IL / � ‘. _ !YR. _ i ,$_ _ d'ff?!l_- � 5 4/4_ No..i ,� - -• Street. _. 93Jl /, 4/ SR Bea: ?wed Architect and /or Engineer.. _ f !y /p,�,E',f' N. //g_ie Name and address of licensed contractor. __/V-ff et4 2A, !l�__ ?x®• S /33. s d, Location and legal description of lot to be built on: Lot .7 E,mf _,to Block 3. _ Subdivision _ _.. - /62.ga Street and Number where work is to be done State work to be done and purpose of building ( ,3loars aJ z2 c 'V 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 $ Y ®° 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___ II hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may Le. seat to -- — - Member Member Member Date Disapproved tkiff The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec :ion 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 t f the work such public notice .^,r notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on y 3k to ;. perfo i ed under this p.;..721:4 as eze licensed by Miami Shores Village. ..----.. (Signed) _ �-' undersigned authority, a notary public, duly authorized to administer oaths and take r. '..iowledgments, personally ap- 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 staled are truce i?errm t No.______ ± v � - Date. � `� __ "`� .. Read, Sworn to and Subscribed before me. Disapproved __- _ - .- _ Date__- -., _, -- s ( Signed) "� %T -- - `::_ _..: %� Notary Public, State of Florida Building Inspector My Commission Expires.... ___ PLANG BOARD_. __ . DATE 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 61.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.