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815 NE 92 St (9)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 z Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where work is to be State work to be done and purpose of building (by floors) Yi Disapproved Date ( Signed) f.:. ing Inspector Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning ard. A re -i pection fee of $1.00 will be charged material nd /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT A r Date 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, therein by him stated are true. ..`�" Permit No Date Read, Sworn to it" Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind off foundation Roof Covering Estimated Total cost of improvements $ _..t __:. - 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) 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 PLANNING BOARD DATE to me well known, and that he did sign the same, and that all facts and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has hecn obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Application is hereby mode for the approval of the detailed statement mine plans and specifications herewith submitted for the build • inc 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 contactor C C . E . SHEPPAR D ROOFING INC . 41 N . W. — 20TH STREET MIAMI, FL 33127 Location and legal description of lot to be built on: Lot Block Subdivision _._...._�.._» Street and Number where work is to be done Stato work to be done and purpose of building (by floors)........ _ ........ ...__...._.._� New Building Remodeling Addition Repairs' No. of Stories...... To be constructed of Kind of foundation Roof Covering WHITE... TILE Estimated Total cost of improvements $ 5,995.00 Amount of Permit S... k 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 • C. E. SHEPPAR ROOFING, INC. 4 1 N. W. 20TH STREET, MIAMI FL 33127 be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Ltbur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied uith 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 notic or notices as are required by the Act. The undersigned agrees to employ only such subco s, on work to be performed nder thi pennit, as are licensed by Miami Shores Village. Remarks..._ (Signe •..aax!_" STATE OF FLORIDA, COUNTY OF DADE. i ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Permit No.. _ ���`1 Disapproved \ \... f.: Date. — ( Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Building Inspector BUILDING INSPECTION DEPARTMENT Date..._...__.._ _. ....r.._.QE�11ZL.._.__... _ ».. ,19.2.. MR. JIM SILVERMAN — N » 815 ,—, S trom N.E. 92ND STREET 815 N. E. 92nd Street MIAMI SHORES,, FL Notary Public, State of Florida My Commission Expires ... ».» r3 • s r ,� y r7" C and for no other purpose. 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 thcrcin by him stated are true.. Date ( Read, Sworn to and Subscribed before me. 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 frntn the Plannir.,. Board. A rc•in'.pt•ction fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. ,97