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890 NE 92 St (3)4 MIAs I SHORES VILLAGE BUILDBNG BNSPECTBON DEPARTMENT PPLBCATB®N FOR `= BUILDING PE - MIT 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 rdinance 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 ° Harlan - 89 D NO ' o .9 Sts: N _Skti s Str — Orkin t. Co ° ® 1960 GW o W. 27 4kyp .Est Registered Architect and /or EngineeP i!!!•••.TTT••!tf. ^. 15i, T.4R. .T! Name and address of licensed contractor .. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to done 890 LE. 92 Sts i_anra —. —. State work to be done and purpose of building (by floors) Nylon Tent Ftmian $306 •00 `.//�� e and for ao other purge;. 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 Distance to next nearest building Size of Building Lot Mfaximum 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..._ (Signed) ZL 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 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 =Me, and that all facts therein by him stated ar true, Z _ Permit No..____ S Date ' Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspe. or Notary Public, State of Florida to me well known, My Commission Expires ANNING BOAR ;r DATE Chairman Member Memmber 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 af¢er approval has hecn obtained fro the Planning Board. A re- inspection fee of 51.00 will be charged when ouch re- taapection is ma () aeoeszary by impala ratio feat frzaa¢iara of faulty materials and /or workmanship.