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870 NE 92 St (7)• ., Disapproved (Signed) wA A.. Ness Building To be constructed of 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 a. building during progress of the work. Owner's Name and Address.- G° c? g Registered Architect and /or Engineer.. Name and address of licensed contractor �' �1 /4 Name Location and legal description of lot to be built on: Lot Block Subdivision.. 7 Street and Number where work is to be done State work toe dyne and p pose of building floors) Ls pate Building Insp ctor Remodeling Adddii on !� /KirL of foundation ai a Estimated Total cost of improvements $ Amount of Permit $ 0 ,19 No e70 Street. /Q Date 77 Read, Sworn to and Subscribed before me. 6° Z 6 and for no other purpose. Repairs No. off Stores oof Covering G I h r de G 0 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 a plans and specifications for said buildi g. A 1 notices with re rence tote building and its construct) n may be sent to.. c U o c. - Y s c am✓ ° `� =� G,� Q �� !� 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 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 insp tion on the site of the work such ppublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcofactors, op work tq -be per rmecl.'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 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 Z-0 Date Notary Public, State of Florida My Commission Expires LANNING BOARD DATE Chairman 6 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. 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 Registered Architect and /or Engiriee ...: - Name and address of licensed contractor Location and legal description of lot to be builroe,i Lot Block ;' Subdivision STATE OF FLORIDA, COUNTY OF DADE. Estimated Total cost ofimproventents $ ss. 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 -' Read, Sworn to Disapproved � . Date ' 9 + b (Signed) /' /' ti T L lding Ins 4 re , ti Chairman Member Member Council Approved Date MIAMI SHORES VILLAGE Date , 19 No " Stree Street and Number where work is to be done _ State work to be done and purpose of building (by floors) y_J7 C C > t+ ",I; 6 7 c76 Gf - ( J i � r . ;' y°C7 New Buildiri� ` '> v <f ` G� 6 I�ernodeling Addition To be constructed of Ind of foundation 1,7 Amount of Permit $ Roof Covering `q <A G'o da a 1) . 1 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 _ _ _ 1The a 6 icaforthii- inkling frellAit doe hereby"' creidy tharhe understands and accepts his obligatioi ifs an empliiyer undeisfea of labor under t e 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 simitar 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) ... . f % - ' NNING BOARD DATE Repairs No. of Stories '0 6' ) �� � - /9" 9 Z.7 0' c✓ an for no other Purpose. and Subscribed before me. As • .b cg- .-s- Before me, the undersigned authority, a notary public, duly authorized to adminisfer oaths'and take acknowledgments, personally ap- peared to me well known, and that he did sign the same, and that all facts Notary Public, State of Florida My Commission Expires Member Member Member 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. PERMIT APPLICATION Owner's Name _ .: /�< �� �_ Lot Job Address � 7 2 L' . Block M / ,t � . P j c C Subdivision Cost of Job $ Show: Electrical service and septic tank location. Indicate North .A -12 Fill in dimensions of lot. Front Note: This sheet has been prepared for the expediting of building permits. All information required here is necessary and must be given. Omission of any of the required information will result in a delay in obtaining the permit and the installation of the job. In addition to the information required above, it is absolutely necessary that the distances from the building to the lot lines on awning shutter jobs, and the distances from the patio or carport to the two nearest lot lines be indicated on the sketch. PERMIT APPLICATION Owner! s Name CT /9• c Lot Job Address 62 /V/2 7.! S/ Block Municipality / ' -- , S J. s Subdivision Cost of Job $ Show: Electrical service and septicitank location. Indicate North]. Note: This sheet has been prepared for the expediting of building permits. All information required here is necessary and must be given. Omission of -any of the required information will result in a delay in obtaining the permit and the installation of the job. In addition to the information required above, it is absolutely necessary that the distances from the building to the lot lines on awning shutter jobs, and the distanc from the patio or carport to the two nearest lot lines indicated on the sketch. .A -12 Fill in dimensions of lot. Front