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231 NE 94 St (7)• 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 Addres .� !.•. 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 2 3.// State work to be done and purpose of building (by floor ) STATE OF FLORIDA, COUNTY OF DADE. ss MIAMI SHORES VI ILLAG E BUILDING INSPECTION DEPARTMENT Date 2 LI ! • 6 ,19.. .. No a 3 / Street. e 'V- Subdivision .Y • and for no other purpose. New Building Remodeling Addition t./ 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 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 - contractor 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 subco actors, ..•,�• ork ,. be rformed under this permit, as are licensed by Miami Shores Village. ':1i' Ai a7 Remarks _ (Signed) � : ! __._�! ,� �, _ > 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 . ta ` 21 Date / 6 Read, Sworn to and Subscribed before me. Disapproved ___ Date__. (Signed) e p = 1. — / Building Inspector/ JLANNING 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. Notary Public, State of Florida My Commission Expires Permit No. ZCA Date__ _ Disapproved (Signed) Buildin Chairman Member Member _ Council Approved MOAM SH LI RES VH_LAGE BUILDIN INSPECTION DEPARTMEN APPLDCATION PO Registered Architect and/or Engineer Name nd address of licemed contractor Location and legal description of lot to be built on: Lot Block Subdivision spector `71 _Date fi UDLDIIN PER DT Application is hereby made for the approval of the det, iled statemere of the plans and specifi.a,ions herewith submitted for the build- ing or o h, -ructure her I described This ri-licat;: is made in compliance and con o'm ty w.th the Building Ordinance of Mia ii Shores Villave, or dm and all pro isions of the Laws f the State cf F h.rid. all o d nances f Mi ni Shores Village and all rules and regu a ion. of the Building Div.. i of •ilim Sho. ;line h 'I ,e -o, iphed with, whether herein specified or not. A copy of approved plans and specificati •ns must: be ke, at building durin progress of tl.e wcrk. Date Nay 170 , 19 54 Owner' Name and Address._ Albort Rally No 23 1 Street_ N. E. 94th St, Street and Number where work is to be done State work to be done and purpose of building (by floors) Ono 90 alato Motal IDEAL ROOFING & SHEET METAL WORKS, INC. 261 N. E. 78rd Stroot 231 N. E. 94th Stroot PLANNING BOARD Ro-reofing Garago oavos drip and for no other purpose. New Building_ Remodeling Addition Repairs . X . _ No. of Stories 1 i7 Garago To be constructed of _ Kind of foundation Roof Covl.ing__ - Estimated ta1 cost of improvements $ 80°00 Amount c. Permit $ 5.00 Zone -ubage required __. Distance to next nearest building Maximum live load to be borne by each floor hereby submit all the plans and specilit‘ations for said building. All notices with reference to the building and its construction may be sent to _ _ __Plan Cubage __Size of Building Lot The unde signed appli ant for th's building permit does hereby certify Ciat he understands and accepts his ..bligations as an employer of I bor under he Florida Workmen's Compensation Act being S. -tion 5966 Col p led Gen al Laws of Florida P r anon S•ipplc iient. and h s compl ed w:th he prov•iions thereof, and will require s•milar comp lance from all contractors or sub-eontractors cmplo •ed by him in the wo k to be p rI med under th s peril it and ill post or cause to be posted for inspection on the site of he work su :h public not, e or .oth. es as are requir d by the Act. The u. d. r ign .d agrees to employ only such d ntr. ctors, on wprk be perform d der this permit as are licensed by M am. Shores \ il ge. Remarks._ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm.nister oaths ..nd take acknowledgments, personally ap- peared _ and who, being by me first d. ly sworn, upon oath deposes and says that he is the .. of th abov de & ibed istruction t. . h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr le. Read, Sworn to and Subscribed before me. My ComInission Expires Member Member Member Disapproved Notary Public State of Florida DATE to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application fter approval 1, is been obtained from the Plant ng Board A re-inspection fee of $1.00 will be charged when such re-inspection is rm• ;c: necessary by improper notice for inspe:t'.n or fa. 'ty materials and/or workmanship. MIAMI SHORES VILLAGE, FLA. JOB ADDRESS 6 ) INSPECTION " NSPECTOR 11- 2. -. N9 5451 TIME READY ^'� - j REMARKS. Q °�< DATE -26 3 MIAMI SHORES VILLAGE, FLA. JOB ADDRESS td_ INSPECTION TIME READY - ,y REMARKS: N9 5452 OR .I ' 4 DATE iq ML MI SHORES VILLAGE, FLA. JOBS �?.e ADDRESS < re/ G',�. �G �J�� ` - 1( INSPECTION 71,) TIME READY i� %� O/ - // < c_2 REMARKS INSPECTOR u 1( ,2 DATE 1 ' - N9 5267