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826 NE 92 St (11)Owners Name and Address Y r� ( i0, M SHO BUILDING ENSP[ECTCO6Z!1 DEPA FUC: iON FD F? I U8L ES V M LLate- SE T E ^ T (Sig �fl♦� 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, hlnrida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules end regulations of the Building Division of Miami Shores Village shall be compli -li with, whether herein specified w not. A csepy of approvcdl plans and specifications must be kept at building during prqgress of the work. PLA1 4INC BOARD r PER rT DA'I Cl Registered Architect and /or Engineer Name and address of licensed contractor 0 Cde?.4.) Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done � 4 0 State work to be done and purpose of building (by floors). / 'f 3.i2 - ()i7 -..... 0 : _.*?:= _. �- > � /, ��_.. ._iCeat _tC.. .est J e d for no othe' / New Building.... Reni f g Addition Repairs No. of Stories To be constructed oft ' b 304<ind# foundation f. ? . :.. Roof Covering T Estimated Total cost of improvements $ .' .' -- Amount of Permit a. Zone cubage required _Plan Cubage Distance to next nearest building 4 i �` ��� Size of Building Lot _. Maximum live Load to be borne by each floor I hereby submit all the plans andsecifications for said building. All notices with reference to the building and its construction may be sent to............T &. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ,mployer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of and has complied µ ith the provisions thereof, and will require similar compliance from all contractors in the work to be performed under this permit; and will post or cause to be posted for inspection on or notices as are required by the Act. The undersigned agrees to employ only such subcontaaccor permit, as are licensed by Miami Shores Village. Remarks..._ oat X 1.9 sub- contrac e site of t o be ennxne•nt rs em loye by ork alit noti yk rform . . rider lent, 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 carefully read the foregoing application, and that he did sign the came, and that all facts therein by him stated are true. / Permit No..__.. _.... Date 7 . 3 Read, Sworn to and Subscribed before rate. Disapproved '� ate Notary Public, State of Florida (Signed) ...L .. (;e___ . uild Inspector � My Commission Expires Chairman Member ..., Member Member Member _ . _....-- •_ - -._ .-- -- ....._ Member ...._ ,.._..._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making ea .'ectioaaa or changes ac this appbetli!c'1t after approval has hQen obtalned frmta the Planning Board. A re- inspection fee of 31.00 will be charged when aech ire - inspection is ti . "o nasesaary by Iutagrciv. t7 catleo ffoa iaagtectitrn or faulty materials and /or workmanship. 7 f i4- (e7) s9z - / - rH) 7$7 --dZ 3a 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. • Date ^ , 19 Owner's Name and Address Y , --- = - ---- ----- --- _-- z - - - - -- No Street i Registered Architect and /or Engineer ____J__ !__. ___r` � Name and address of licensed contractor __ _,i__ '•__:__ Location and legal description of lot to be built on: ��� Block , Subdiv' ion__ Street and Number where work is to be done. State work to be done ,and purpose of building (by floors) /i - � - New Building To be constructed of____________ _______- Kind of foundation Roof Covering Estimated Total cost of improvements ` p $- �- �,- - Amount of Permit $ Zone cubage required _____<%__ flan Cubage_____,_ Distance to next nearest building 1< Size of Building Lot \ q" >____.. 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 STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No __ Date Disapproved Dat e (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT - - -- - - -- and for no other purpose. Remodeling Addition Repairs No. of Stories 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 ublic 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) _ _______, 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. to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My 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 i'lanning 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 r.': tcrials 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. - Date d , 19' No . { Street- Owner's Name and Address___) Registered Architect and /or Engineer 4 Name and address of licensed contractor f - Location and legal description of lot to be built on: Lot -- -, Block Street and Number where work is to be done State work to be done ,and purpose of building (by floors) f J , and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements l--�L, ments $____a Amount of Permit $ ,'_� , Zone cubage required Z• _:___, .Plan Cubage____-4__ _' __- _= ,_ ______ Distance to next nearest building Size of Building Lot C . 4'' 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__v — , i - 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 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My 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 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 nmtcrials and /or workmanship.