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825 NE 92 St (8)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 submitte 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 Es3 e--5 , ov 2._(:11,, ' 1 1111 N a.L ..__. Street 9 zs ti, ..N.F.'C R egistered Architect andter Enginecr , .••••• , • S ..1 t4Sit...!s...! .............. e•. 1211. t••• S••••S•• 1.1 •S. 1112! 1244tt4444C4ft [4itll44tGME44]44tt M4.1LUC- 2- 4tttli•1 . . . . - ,,T • ^••ee. Name and address of licensed contractor.. .Q.l d t ..... :f . ' W \ ?- Co.1- Q F iv C , \ck N r • ■ S 1 S'\ , Nto�i u∎atAAL�t 33 \ (fl Location and legal description of lot to be built on: Lot2.0. i ..l;n —..k Block G © — . E `S - ..._... _ �— - Street and Number where work is to be done __ Nom State work to be done and purpose of bu ing (by floors)............... )'.. --f '� �. - ,,,„ C.0._ U,�^�1D�� 11.u� _.._ a T( (t) CA ( .4 -r, M ee04 a2 . STATE OF FLORIDA, 4 COUNTY OF DADE. ss and for no other purpose. New Building. . sgl bRemodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roo f vering Estimated Total cost of improvements $ Amount of Permit S. 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida \Vorkmen'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. r Remarks---- ....... ------------•-----_.._....____.. _.___._......._....._._..__. —.. (Signed) 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, therein by him stated are true. Permit No. ? Date U . T Read, Sworn to Disapproved , D (Signed) Chairman Member ..._... -..._. Member ............. Council Approved NOTE: A charge the Planning Board. A re- inspection fe materials and /or works and that he did sign the same, end that all facts and Subscribed before me. Notary Public, State of Florida Building InspH or My Commission Expires ANNING BOARD .._... Member Member ..._.._... _.._ Member •.---- _...._..�..__.._ ._..._ - -- Date Disapproved f $1Q00 will be made for making corrections or changes to this application nfter approval 1.00 will be charged when such re- inspection is made necessary by improper notice p. —___to me well known, • Date has been obtained from for inspection or faulty BU LDiNG ENSPECTOOR9 DEPARTMENT dENT A rPUCATO ®N F FELMOT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mia:ni Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. -� Date Ac4 /. r.Z. , ,19...i5 Owner's Name and Address �.�.‘ . 1 - 2, ._ No ea 5. A FStreet_ Registered Architect and /Or Engineer Name and address of licensed contractor_.gig/S Location and legal description of lot to be built on: Lot Block STATE OF FLORIDA, COUNTY OF DADE. ss. �+` d a.2_!1_cp./�ir .$_... /.!?...... ..571lPL21_ ��.. Subdivision Street and Number where work is to be done._. . S A__....7 C73. ll! /7! fB ed'i e–s 7 - 4 :.. _._ Stage work to be done and purpose of building (by floors ).elac.s..<z.Z..G,1 a 4 > './o!✓ ____ C f?�/��/ t ___ 7 /C. s 2 u/ ._c.� /2_1_,P .4. AS ._ is7 4,9 qtr/ AS- and for no other purpose. New Building Remodeling Addition A. Repairs No. of Stories....! To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 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 mzy 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, 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 subcontractors, on work to be performed ender this permit, as are licensed by Miami Shores Village. Remarks (Signed) ?_ 0/19m/ Shen es W' /R. elt 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 carefully read the foregoing application, and that he did sign the same, and that all facts therein by him sta are true. Permit No.__ , e° Disapproved 14 [ Notary Public, State of Florida (Signed) , t . Building Inspector, My Commission Expires 1 Date Date. __., Chairman Member Member -'7 Read, Sworn to and Subscribed before me. PL I NING BOARD 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.