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712 NE 95 St (9)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLIUATR N FOR BUILDING PERMIT Appli is hereby made for the approval of the detailed statement of rte plans and specifications herewith submitted for the build • inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, ► lnrid.t. 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 specification; must be kept at building during progress of the work, Owner's Name and /Address . ..' 41 611 .42•44 4 --- 7 To be constructed of Kind of foundation Registered Architect and /or Engineer .,. Name and address of licensed contractor. (,!/.(sS .�'. .� ? - 30b / c kd -® '7 Oio p ey Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done '2J._.. Date ._...._ _ L 11971 • .. No..71 A . . . s ? ' . State work to be done and purpose of building (by floors) 5-,x%1._:.,_....._ , and for no other purpose. New Bui!ding Remodeling Addition Repairs' No. of Stories Amount of Permit $. ...1 .Plan Cubage ,..Size of Building Lot R oof Covering Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building 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 be sent tp.. Building Inspector Notary Public, State' of Florida r the building and its construction may 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 Sap ilelnent, 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 inspectiop on the site of the work such ublic notice or notices as are required by the Act. The undersigned agree; to employ only such subcontractors, o work to be performe under this permit, as are licensed by Miami Shores Village. / /)' Remarks =� STATE QF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and Rake 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. NQ Permit No ���g1� Date 1X J.) L) l / Read, Sworn to and Subscribed before me. Disapproved Date (Signed) My Commission Expires... PLANNING BOARD DATE Chairman Member , Member , I.fembcr 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 hern obtained from the Planning Board. A re.m pection fcc of $1.00 will be charged when such re- inspection is made necessary by improper notice; for inspection or faulty materials anp /or workmanship. tor oej aaah MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statume•ne of me 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 *II rules and regulations of the Building Division of Miami Shores Villa le 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. /� J Date.. �L..__. .....__......_.__..._.....19�.� Owner's Name and Address ...F- .a.1'.4a.l..4.,..../�1.'� .S.C._A- Xi..4..f" ... No...._.��. ...._.. street_.a.E- Registered Architect and /or l;ngincer , ,;,, ,,,,,,,,,, ,,..:, Name and address of licensed contractor Location and legal description of lot to be built on: Lot 1.0..E 1 1 Block b 7 Subdivision Street and Number where work is to be done ........7 .. [.S_.. _,5.. • State work to be done and purpose of building (by floors) Jz.th 1L.n: 1,400q.... ..... :ri� New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ .i..B..CI P • 0 O 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 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 Sup pleuient, and has complied %%Oh 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 arc 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. Remuks __._ ...._ (Signed) Permit No and for no other purpose. Repairs No. of Stories l © {t , oQ Covering STATE OF FLORIDA, COUNTY OF DADE. is' Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally ap- peared Read, Sworn to and Subscribed before me. Disapproved ' Date Notary Public, State of Florida (Signed) uilding Inspector My Commiuion Expires 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 caret lly read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. 1s 1 ` "/"/ .............. Date " i t• 41 PLANNING BOARD DATE Citair:nan _ Member ....... _ ...... ................._._...._...._. Member Member Member.. .. _.....__....._..._. _ ...._....._ Member — _.._..... Council Approved Date Disapproved Date NOTE: A c•hargc of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning liu.trd. A re—inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. R sY PERMIT APPLICATION FOR MIAMI SHORES VILLAGE i Date Job Address ! l ' /' /L. Q5777 Tax Folio Legal Description CA Owner / Lessee / Tenant AA , 1 I L /.;/./. . Owner's Address 177/R (.2 M Contracting Co. 0/) / () / /1 Master Permit #375 Phone ?SCE - OZQ Address / / nC.J j Qualifier j Aid /')_ l )1 eAoiS - SS # Phone 835 -0239 State it Municipal #650 Competency #f ) F6Ins.Co.CO WQ IQ// _ 4!}j 'RU Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN �' SIGN WORK DESCRIPTIO .3 nc %s, 7' L )/9// o T.4/ o, i/!7 Sgtr Pt.//7 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO-DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wi be done in compliance with all applicable laws regulating c. uctio zoning. Furthermore, author ' - 'h- =rove -named contractor do the work stat Sign of�Owner d /or Condo dent _nature 'Contractor or Owner- Builder Date: - ¢e: i Notary S - t e �murY6,dMo P esident My Comm ** * * * * * 0 * * * FEES: PERMIT RADON C.C.F. APPROVED: Zoning Fire * Estimated Cost(value) :g26 • * * * * * * NOTARY TOTAL DUE / Other Building 11 f Electrical Mechanical Plumbing Engineering ■ to REF 2 F BOO( cr4 '323- v - o 1 100.00' , i• I /. • , V 6v, , •f 6); fi / • (v to r! • . I 1 L. rn! ii, ., • • c:t 2 a • LUZ o Qfr. c.. . 7.5 • .C t ifl • N co GO • 0 2.6 ' i / • 1 14,•!rod. o • • • - foe 4 lPeAme- rt_E-.:\oe■LNce -r • 1 25 Cg I/ 2d r v r • • 24 ?-vctsf • 1 • 2O. BO IC. 2d • co G YD. 41 3 I ?trc. - 4 9 ZeT O th di • C.Q.S. WLL 4 11. 0*. 2 4 .30' I G.85 c0 • o • . . 38 4 ' • / • 0 ct• 24.77' • • t • • • t co .0 * Ili -. / . Le V t. --k w c.c.c> FENCE. --) ,/ - 1 - - - - ••-; , • ca ..:; . ' Pa • P qsr, 1 e.g. too.od tZEC. 1 .__ m E4::•. • • t4... t'3' &%...,..„ , • • .,. L-tD,G .rvtsk ALt...9 -2 . • ' ON , REVISED: — " ON _}_n8. , SURVEYED : t Jk..31...1