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860 NE 92 St (3)r MIAMI SHORES VILLAGE' 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 R / Name and address of licensed contractor Location and legal description of lot to be built on: Lot: p Block Subdivision d Street and Number where work is to be done_. - ` • BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date.__ ? , 19 N . ter : O„ Street ° Registered Architect and /or Engineer g//.1. e _ State work to be done and purpose of building (by floors)at-2.,'— C / To be constructed of ‘T. Kind of foundation Estimated Total cost of improvements $i .%I Roof Covering 6 New Building Remodeling Addition Repairs No. of Stories and for no other purpose. d, , Amount of Permit $ Zone cubage required plan Cubage 4 PI S 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 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. 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 Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chainnan 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. e0' -oa.. Zq r A x'11 ?fo s' e� F ta. o s T N 0t 4 1 11.. 3 Rif. ) 4-0 2'"73 M ®V /ions THIS LICENSE EXPIRES' In consideration of the sum of Date Issued i t .9 Tv;� Paid to Miami Shores Village, Dade County, State of Florida, is hereby licensed to engage in or operate the business of Oa) '0.1) ` .gar THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS MIAMI SHORES VILLAGE, 172ORIDA By THIS LICENSE NOT TRANSFERABLE WITHOUT THE 'APPROVAL OF THE VILLAGE MANAGER. 7 APPLBCATION 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. Bate /� , 1 Owner's Name and Address o No // Street C %:i! �° Registered Architect and /or Engineer 2 ������%� Location and legal description of lot to be built on: LotI Block Street and Number where work is to be done ' ' ���� STATE OF FLORIDA, B COUNTY OF DADE. j ss. Permit No Disapproved (Signed) Mi MI SHORES VILLAGE Date Building Inspector BUILDING INSPECTION DEPARTMENT Name and address of licensed contractor b Subdivisio �� _, / ->l_ :', l .. „, 32,7„„_' ^ //mi l . %� G� '�. -� A."-- 9 and for no other purpose. State 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 Estimated Total cost of improvements $ �� • �' Amount of Permit $ ' Zone cubage required plan Cubage .4 L% Distance to next nearest building Size of Building Lot Date Read, Sworn to and Subscribed before me. 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o work to be performed under this permit, as are licensed by Miami Shores Village. ° Remarks _ (.2 ✓' (Signed) �� < -'7.. ' � i 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. Notary Public, State of Florida 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. < or r