988 NE 93 St (6)Estimated Total cost of improvements $. /go. i?
Distance to next nearest building
Maximum live loac .o be borne by each floor
BUILDBNG lNSP -C :O.. L�PARV.:ENIT
APPLACATMN P MC
Application is : reby knade for the approval of the detailed states..: nt of ate plans and specifications herewith submitted for the build-
ing or other structu:• her• in described. This application is mad.: in . umpliance and conformity with the Building rdinance of Miami
Shores Village, Flori.ia. c.... all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Buildh.g. Division of Miami Shores Village shall he 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 Wage;
Registered Architect and /or Engineer.. -
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 9,1 __ 718 92 °��
1 State work to be done Inc: -pose of building (by floors)
and for n other purpose.
New Building Remodeling
To be constructed of Kind of foundation Roof Covering
Amount of Permit $
Zone cubage required.__ _ .Plan Cubage
Size of Building Lot
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 pennit 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,
an has complied ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to Lc _ erfor.:led ender this permit; and will post or cause to be post •3 .r inspection on the site of the work such public notice
or notices as are r ;uired by the Act. The undersigned agrees to employ only suc .contractors, on wow to be performed under this
permit, as are lic...sed by Miami Shores Village.
A 21 • \ A
Remarks (Signed)
Disapproved __�,
.Q �
(Signed) : .- Y!X
Date__
uilding Inspectyk
Date /A —.r!` 7 19
`9' No.. 4/E Street. .- _ ??- I., ,
Addition Repairs No. of Stories
P8J7 -.5
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, .1.e undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being ny me first duly sworn, upon oath deposes and says that he is the_
of the above uesc..oed 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. ...4!+ 2 Date �' Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chw.r:a.m _- Member
Member ._... Member
Member _ Member
Count Approvc.d Date Disapproved Date
\OTE: A ei arge 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.