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533 NE 92 St (9)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 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 SC Registered Architect and/or Engineer .,� Name and address of licensed contractor g 1 1� E && , e # C � /lf /v r -• /`rC� /3 4 z N4/ (/9 , L Location and legal description of lot to be built on: ��y� R Lot / 3 � �7 Block 57 Subdivision // /� - C2�C/ �l // 3x®6' / q / /Y, / Street and Number where work is to be done 5 3 3 ti6-9/ 5 / Ct State work to be done and purpose of building (by floors), state exterior colors (submit samples) ? I e .ce 4 VIc (� 1J' f.) C.c10 042 • O) PE) v /— b , Lt -ern' )C'f a la®...v' and for no other purpose. New Building Remodeling To be constructed of pp Kind of foundation �'( Roof Covering Estimated Total cost of improvements $ 15CQ Amount of Permit $ 3 1 -/ 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ,� Remarks ISignedl� // /Zi , ern/ 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 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. Disapproved (Signed) APPLICATION FOR BUILDING PERMIT Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Addition Repairs No. of Stories Date I l. /gr r Read, Sworn to and Subscribed before me. Date PLANNING BOARD DATE � 6( 7 /-,P6 19 No. 533 /V Street / Notary Public. State of Florida My Commission Expires 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 $25.00 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 Registered Architect and /or Engineer.• Name and address of licensed contractor l � l -(ti' Location and legal description of lot to be built on: Lot Block Subdivision r N .,.. Street and Number where work is to be done �-� .� � _ State work to be done and purpose of building (by floors) !`u'�- z`x (,,,o-t. h- �• 1 _ IA Date 5 - 3 .._..._.. _._..__ _ ._ ,1 7 ? _ No . Street— N Z_ - il.,.. .111' -'-' 11..1 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of found Roof Covering Estimated Total cost of improvements $ I -1 S 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 arc required by the Act. The undersigned agrees to employ only such s ntractors, on wor be . r armed under this permit, as are licensed by Miami Shores Village. �J I I Remarks (Signed )... ..._ . tCtIA Q/ ICV r._... _ 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 carefu y read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.._ -1 /2 7 3 Date iP /A7 Read, Sworn to and Subscribed before me. Disapproved ..____.... 'ate .` C 74 Notary Public, State of Florida (Signed) t z` •,G E l (C ,_ F-1-� 1/ -e- e'5_ Building Inspector ~IvF 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 Planning hoard. 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. 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 Registered Arehlteet and /or Engineer ..:: . 62 (4.2.. . . , 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 ,-33 .' State work to be done and purpose of building (by floors)... Disapproved (Signed) Chairman Member Member New Building ` Remodeling V A No To be constructed of Kind ofjfoundaation Roof Covering Estimated Total cost of improvements $ ['E=:%=:. Amount of Permit $,. cl �� 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 Sup dement, and has complied with the provisions thereof, and will require similar compliance f Il contractors or sub -co in the work to be performed under this permit; and will post or cause to be poster for i . pection on the site of or notices as are required by the Act. The undersigned agrees to employ only sup s•b .ntractors, on wor _ t permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 stated are true. cc Permit No 7- ? Z � Date /7 Read, Sworn to and Subscribed before me. Building Inspector Date. PLA NG BOARD Date J — 1 19 7/ street_. 1 2- 1 X33 „ J1, 000 /t9 7 L a 7 i f an for no other purpose. dition Repairs No. of Stories s employed by him )lie notice p der this to me well known, Notary Public, State of Florida My Commission Expires DATE 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.