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Order #3710
F.B. #65-45
SKETCH OF SUR M
I HEREBY CERTIFY:
"SKETCH OF SURVEY"
descr .e. rro.er
Lots 9 and 10, Block 56, MIAMI SHORES
Section No. 2, accordinij to. the Plat
thereof, recorded in Plat Book 10,
at page 37, of the Public Records of
Dade County, Florida.
Nov. 13, 1950
Scales shown
That the attached
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Location and legal description of lot to be built on:
Block Vo
STATE OF FLORIDA,
COUNTY OF DADE. j SS.
New Building " remodeling
C
To be constructed of Kind of foundation
Estimated Total cost of improvements $ 1 L ?? ,) ' 0
Zone cubage required
to next nearest building
Disapproved
(Signed - - -'L� Building Inspector
c
Chairman
MIAMI SH o RES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is herel:y 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. �y y
Date
Owner's Name and Address (). � � " � � °
`� _-- -__ -� No ��, .. � Street- -- F-- t-- �.�- -- -- -- --_
Registered Architect and /or Engineer \? •
Name and address of licensed contractor ` j ' ° � " ' �� _ �s.1
Lot Subdivision_ 1. \� t
Street and Number where work is to be done N1
— - l
State work to be done and purpose of building (by floors)_
Date
A
`Date
and for no other purpose.
Addition ____________; -_ �. Repairs No. of Stories
_
L1 /
AmosYnt of ermit $ / 2...J__ - -
___Plan Cubage f �__ P d2
Size of Btiilding Lot Jf2B__ S 1
(Signed)
RofCovering
PLANNING BOARD DATE
Member
A 1 4
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 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
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 1 Ol �°?
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Member Member
Member _____________ Member
Council Approved Date Disapproved Da+'
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has 1,'-
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary bv '—
materials and /or workmanship.