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62 NE 93 St (13)Owner's Name and Address .7 Permit No Date p 5 { f Disapproved .�_.. `��..._�1 Date.._.. (Signed) MI I SHORES `�„�1LLA6E UILDINC INSPECTION DEPARTMENT PPL CAT U FOR BUILDING G PERGT Application is hereby made for the approval of the detailed statement (31 ore 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 yuIes and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein apectfied or riot. A copy of epdroy ' plans and specifications must be kept at building during progress of the work. ) 1Al2"� 'S MRt)i;' ) 4RY>:Ut- — No...St�. �........_... Street.0 r r �. R egistered Architect and /or lynsineer .... . ............. „.....,....,,..... Name and address of licensed contractor _...d 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 budding (by floors) �t. DO i� ®oi� �ti✓C�� V�1 < ci 36-tr Purl ¢ Ror t i°lo � :� a Id so _.._. and foa no oother purges: . New Building Remodeling Addition Repairs No. of Stories To be constructed of W® ®D Kind of foundation Rood Covering Estimated Total cost of improvements $ 160 Amount of Permit S.. I 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 umicr.igncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied w ith 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 arc required by the Act. The undersigned agrees to employ only such' }ubcontractors, on work je be performer. ;Jades all!) pcnnit, 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 and who, being by me first duly sworn, upon oath deposes and says that he is the. of tl.e above described construction, that he has carefully read the foregoing application, and that he did sign the write, crud eh-A all Leas therein � cre>.n b y hi m stated true. Read, Sworn to and Subscribed before me. Notary Public, State of FFlorida to me well known, Building Inspector 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 Isecr: cbta ir:ee from tlrc I'Lurnio Hoard. A re inspection fee of 51.00 will be charged when such re - lnspection is made necessary Ilay Irtnpaper repro for ins terra col fou'ay materials and /or workmanship. �'o�s t(o." ceoreg__ 4 4-1 sors Cc, ps. Peer Si.. o. es eu` Pied en qn 1714" I. 7r 14 CFO ...1.. ...1 -a i X 6/ a ►► 3. sm. 12. 1' nt 4. = 14 ►i n h 11 If 11 Roars, 5Zi .04 e04eee -roc, 1 RAILI NIG R Ns (p ■ ► r t3_ a� Io oois.rs SET fJ Ceme..1 T Disapproved (Signed) i Owner's Name and Address I hereby submit all the plans and specifications for be sent to.. s Permit NO.._._ /`✓. °.. �• :`r�% Date ' r ,. !:.5........... �,. t ` .... Date. MIAMI SHORES VILLAGE BUILDING INSPECTION EPARTMENT , , ' • is r • tarp ` 1° f'" LI CA N I ®E'� FOR " ` WILDING ®' �L7J specifications :-� nCU �� �terewCtPe submitted Rob the �eSil� A3 3 lication i her )) c r the pp oy l of the detailed st. tei t •nt e p ing or other structure h •rein c escribcd. This application Is made in compliance and conformity with the Building Ordinance of F+tiamt Shores Village, Florida. and :al provisions of the Laws of the State of Florida, all ordinances el 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 daring progress of the work. „) •! /o N l .. t1 .m No.... ....... Street— Registered Architect and /or Engineer // •/ �. 1: ":� S ., wi :� ; �� ^� ...1., < G � ' ', Name and address of licensed contractor . �.�.� _.._ f�. �...;�� ....®. Location and legal description of lot to be built on: Lot Block Subdivision 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 therein by him stated are true. ^ Building Inspector said building. All notices with 119. 999•••! .!•!!11499991!t71.1,99991(910.,19 Street and Number where work is to be done .55 Al . 92 ` _ v.._ State work to be done and purpose of building (by floors) _ " ",.i /9 .i1')f2/ ..z '2,._. �% � / o :"'/ '/'/j Ncw Building Remodeling Addition Repairs No. of Stoelee _. To be constructed of Kind of foundation Rolf Covering ....... Estimate Total cost of improvements $ .... 'l' <' Amount of Permit te Zone cubage required Plan Cubage Distance .to next nearest building. Size of Building Lot Maximum live load to be borne by each floor reference tc the building and its ceestructiota may The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employe of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied ssith the provisions thereof, and will require similar compliance from all ntt1ctors or sub - r.tractors employed by 1!.'.m in the work to be performed under this permit; and will post or cause to be posted for i e ti it cei the' 4e c work such ulrlic notice or notices as are required by the Act. The undersigned agrees to employ on[y such su ��a or onfwe be p r under this pcnnit, as are licensed by Miami Shores Village. Remarks..._ (Signed) ‘. Read, Swo n to and Subeceibed before roc. and far RD (Aber purpose. STATE OF FLORIDA, COUNTY OF DADE. '' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally peered t� pet we 3 °ter, that Pte did sign the same, ar.e. that all gates Notary Public, State of Florida My Commission Expires ....... _....._.......... o ._._...__ ._�..�.�v. 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 niter approval has horn sb2aited from the Plannir.g Board. A rc•in Ice of 81.00 will be eherged when such re- inspection bs nude necessary by Improper notice for 3irn or Qaulty materials and /or workmanship.