PLANSi
order 4 23723
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Lots 11 and 12, Block 52 MIAMI $HQHi., .3Ni LON NO 2, accordin to the plat
thereof recorded in Plat Book 10, at Page 37, of the Public) Records of Dade
County, Florida.
gor
John Prunty
BIOCAYNE ENGINEERING COMPANY
Civil Engineers°
Miami Florida .
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HEREBY CERTIFY: That the attached 3 6KETCH OF BURV,EY" of the above
described property is true and corrupt to the best of our knowledge and
belief as rvicentlY aurveyed and ;Matted under our direction' also that there
aro no encroachments unless shown thereon, t
DIJOAYNE ENGINEERINd COMPANY
fl tutered ;engineer , 4 r
Registered eurveyor ;i 46
STATE OF FLORIDA.
February 1 3, 1.951
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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 liililding during progress of the work.
Date `z-- MA--I ' 19 /
� �_ No �P_ '?'- ---_ Street _ —_q_5- _. (� ' �'
- Owner's and Addiei
Registered Architect and /or Engineer __
Name and address of licensed contractor
Location and t' dl description to r legal d t' fl tt be built
r— on,
Lot t lock Subdivision ' C C- t i '
Street and Number where work is to be done _ Q__.)- -__.____h___' -- _.__ q._ `__
State work to be done and purpose of building (by floors)_ ________ __ ____ ________ -___
Gr-,tQ - -- i-e--- A- - '�-h- f1.4- ..cL" ✓ . '� "/"
12 4 ______ ^ �-4
.__.and for no other purpose,
New Building____ - ______ Remodeling ____________- _________. Addition. f- Repairs No, of Stories____________ _____ __
To be constructed of__ _______ __.__________ Kind 1' o oundation._ -, -__ 1 g __ r 4 _
Estimated Total cost of improvements $ _D d 0 - Amount of Per t $ o of Coverin
...-7
Zone cubage required Plan Cubage.______e~.._-
Distance to next neareit building
Maximum live load to be borne by each floor _ ____ `___________-___ _______________ - _______ _________________ :: __________- __________ r
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
peared -- - --- ---
MIAMI SH n RES VILLAGE
Size of Building Lot _
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 public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on erk-- te. performed under this
permit, are licensed by Miami Shores Village.
Remarks __ ____________ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, dully authorized to administer oaths and take acknowledgments, personally ap-
therein by him stated are true.
Permit No Date
Disapproved ____ Date
(Signed)
Building Inspector
Chairman
Member -
Member --- ______ ------ __- _ _____ ---- ______ - --
Council Approved
Read, Sworn to and Subscribed before me.
-
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
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD__ ----- - --- -- -- - - - - -- ______ _DATE
Member
Member
Member _ — —
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.
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41-DM- 64D2 ".* (20 /
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