725 NE 93 St (12)Application is hereby made for the approyal 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.
Owm,Ir's Name and Address...0 - MAWS
RegiEtered Architect and/or Engineer
Name and address of licensed contractor_
Location and legal description of lot to be built on:
Lot__ 2. 9 Block 65
Street and Number where work is to be done
State work to be done and purpose of building (by floors )__
Disapproved _ ate _
( Signed) 164 51/1 —
Chatrinan
Member
Member
APPLICATION FOR BUILDING PERMIT
Building spector
MIAMI SHORES VILLAGE_- -
BUILDING INSPECTION DEPARTMENT
Date__
I 2
7185 N. W. 26th AVENUE
MIAMI, FLORIDA 33147
Subdivision._ mi Amt s tiertues __ stacrr
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation. Covering_
Estimated Total cost of improvements $ 1 4?-r- 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 foi said building. All notices with reference to the building and its construction may
be sent -- Fe14 OE___C-0 %NIG. . — 11 iS NW. 6" AtIttl_!
The undersigned applicant for this building permit doc 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, Pennanent 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 eeors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signe
Council Approved Date Disapproved
FEM 1 ,197
No.12-5 Street . -ST
FF,OC '9 C.
CI+AIN WNW, F a %$
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, undersigned authority, a notary public, duly authorized to administer oaths and take ackaowledgments, 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 ( L 7S Date. Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires__
PLANNING BOARD_ DATE
Member
Member
Member
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.
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Date
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