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849 NE 92 St (7)
M °.M[l Sn tia0 VILLAME BUILDING VNSPECTION DEPARTMENT APPUCAT0®NI FOR oLJOL ONE PERMO U 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. �q Date ..._. — 1 A �j ,19).../ Owner's Name and Address 1 "1 1 " © b` �`i A No. 1�VE Street_- � Registered Architect and /or Engineer Name and address of licensed contractor._. _ __ e-nCd..)._l 3 � ' P j 0 kit _�_ g Location and legal description of lot to be built on: I p� l /� f Lot ±.s Block / Subdivision.64.,d �' 1 1(Qv- lam. /4.4 ai. Z y Street and Number where work is to be done. ___ -_ . E 4 1V 6 . 1 L State work to be done and purpose of building (by floors) 2_. '9 �..e _ . __A. _. _J._I_.kh..l\ ?'1 e New Building Remodeling To be constructed of Kind of foundati$n Estimated Total cost of improvements $.._ 2 0 Amount of Permit plan Cubage �p I Distance to next nearest building Size of Building Lot y_� x l L 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 in e - 3 - l ` 8 S. I .A_fa•- -e- .V°' /� ¢-I. 1 / Q 1 The undersigned applicant for this building permt 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 ).6 Zone cubage required STATE OF FLORIDA, COUNTY OF DADE. ss. -61 Buding Inspector Addition Repairs No. of Stories Roof Covering Read, Sworn to and Subscribed before me. Notary Public, State of Florida and for no other purpose. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persorially 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 13 ! , to Date fAia (� �J Disapproved _ Date f (Signed) My Commission Expires PLANNING BOARD DATE Chairman Member Mernber 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. "t D MIAMI SHORES VILLAGE fiS f� STATE OF FLORIDA, COUNTY OF DADE. Disapproved . (Signed) ss. Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement oe the plans and specifications herewith submitted r 0 t he 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.. o 19 Owner's Name and Address ro le x)1 l `,:..... .®, No.. . »� treat.»._ 7 -s W i Registered Architect and /or Engineer Name and address of licensed contractor..An _1..1I.2�!. E,..L1 CE-C-. ...1.9 1.. , '..1. Q.� .G..V.t....i..1..0 / , j' ff i o Location and ot total description of lot to be built on: L ,. /t' y i � = -'.... l_.=' ` ...��...,,:: '. 7-- �� ....��.�,, � Block / Subdtvasion. �,,�� � � 3� Street and Number where: work is to be done 2' Ql_....1...- :,,_ .r State work to be done and purpose of building (by floors) TN ..[E.1..0. 'ILE...C.I+!9 /!fit L lli.1/. ......0J. 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 $ ;J Amount of Permit $. Zone cubage required Plan Cubage Distance .to next nearest building Size of Building Lot lfaxirnum 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 5 Compiled General Laws of Florida, Permanent Supldement, and has complied w ith the rovisions 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 su h public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon actors, og woylf to perfo c ed uncles this pcnnit, 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, perxrtally 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 careful read the foregoing application, and that he did sign the same, snd that all facts therein-by him stated ar true. Permit No.._.... ..... ■ Date _:..:......._._._ Read, Sworn to and Subscribed before me. ate ,,,,t .10.• ..... . VelITT`114••!•119S VVVVV .T,It /.3 • to me well known. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member \Icrnbcr Member — Member .. .. _ ....._......_..._.._...._....._ Member Council Approved Date Disapproved Date NUTE: A charge of $1.00 will be made for making corrections or changes to this application after approval Irns been obtained Qr+nt the II. nnir.;; Board. A rc- inspection fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspectimn or 6aealty materials anti /or workmanship. S 1 N • z 0 1 PLAN OF SURVEY 9 2 ST SCALE 1 ": 2 0' J THESE PLANS ARE APPROVED FOR I ISSUANCE OF A DUILDiNG PERMIT • WITH NO VARIANCES • WITH V NO OTHER DEVIATIONS FROM THE M FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT i i .1