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835 NE 92 St (10)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statc,,,vnt ur me 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 wovisions 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 progreu of the work. .26_____..........19.T2 O.ti•ncr's Name and Address .....enit4 N pGl. ...��LT.Lvp _ 7: .. ..... Street_....,'? Ss `1 Registered Architect and /or lyngincer TI .. „ „ „n:,..,.< Name and address of licensed contactor .[.�Lr!” .!✓ MI ' e/.0Q .._lrt at, — Location and legal _ d C escript` n' ` f s 1 IQ Ogre �,� }� A ® . Lot.. ?. .. .11.4o.V 11... —.... Blick� f T Subdivision...� f�..CTZ .L.�,�7 .. �JZI_. Street and Number where work is to be done 136C . .tl/ ' 69 � Z p � ,,7 �_ . ..._.._.._. _... �. .c_e State work to be done and purpose of building (by floors).. r{ I�l� .. Ad_�l.Y�I'47i`-- �!�.'. {.,�� _ _..__........ for no other purpose. Ncw Building Remodeling Addition !r' Repairs No. of Stories / To be constructed of Kind of foundation �RRoof Covering Estimated Total cost of improvements $ C2 . LC7.C? Amount of Permit S. Z1 1. ° Zone cubage required .Plan Cubage. ...�i:�tl� 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.. fi p V. ® /2Af jr, STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved ... \l (Signed) Date. Building Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied .. ith 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 bey to o for ins • e of work kf such public notice or notices as are required h the Act. The undersigned agrees to employ only such su • tractors, permit, as are licensed by Miami Shores Village. Rem.uks (Signed).. . Before me, the undersigned authority, a notary public, duly authorized to administe 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 statted are true. y � Permit No.._ :1c� �1�7 Y Date. ..i \) I `- / 4't Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE . Chairman Member MIcrr,bcr 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 rc•in.pectiun 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. 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. ry Owners Name and Address C Registered Architect and /or Engineer._. _ Name and address of licensed contractor_ Location and legal description of lot to be built on: Lot__ Block Street and Number where work is to be done__ Chairman _ Member . Member _ Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT L- phi' - -!f Subdivision State work be done and purpose of building (by floors)._ • ELIS1 Date , 19 (7 No. .Zi t //Ei , Street - - .. f'LN NING BOARD__ __ . DATE To be constructed of Kind of foundation Roof Covering_ Member Member Member _Date Disapproved .__..._ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories Estimated Total cost of improvements $ c--)( ' 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 to - - - -- - 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 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 under this permit, as are licensed by Miami Shores Village. �� Remarks (Signed). � �g�C ✓ "" ' im/ 4 STATE OF FLORIDA, COUNTY OF DADE. j 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_____ ________ _ r Read, Sworn to and Subscribed before me. Disapproved -__- _ _, Date-_ �' t�� -:_/4...1 ,/7 „ Notary Public, State of Florida (Signed) - - - -- ..- ,,. . . Building Insp 4tor My Commission Expires 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. Disapproved ;___ '_ Date (Signed) ... 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. Owner's Name and Address. � _ � , -- ;, - ,J' L No Street Na Registered e and address of 1 censed `� � 1.4- ` ` -if''' � ,=W '- Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose o building (by oors ) Date ( Signed )., c, - -•» ` an or no other purpose. New Building 7" Remodeling Additi ¢ ,� 4 airs No. of Stories To be constructed of..-.C.5 Kind of foundation Z ®�"U.!% .___.��. Roof Covering Estimated Total cost of improvements $_.._' / O ___ Amount of Permit $ / j [ 4 i• Zone cubage required . .�� plan Cubage 1 2 # ‘7Z:. _...._... _ t� 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 0 kl1 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 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. A Permit No I , � Date ' ! 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 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. 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 Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. Permit No Disapproved (Signed) APPLICATION FOR BUILDING PERMIT ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date L -.9 " �` , 19 �.... No Street Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of folindatixse Roof Covering Estimated Total cost of improvements $ _ • Amount of Permit $ .1 O 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, work to performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed). A J Date 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 st ed ar true. 3 Date ¶ ( / 9 Sworn to and Subscribed before me. Notary Public, State of Florida ilding 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 materials and /or workmanship.