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77 NE 95 St (2)g9/ -as 6004.9 7541 -O C/ Afftication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 .pecified or not. A copy of approved plans and specifications must be kept at building during progress of the work. �' /� ' / Date / / 19 7 Owner's Name and Address k/ l t �c/ / EE2 F A �� /-� /1 �°( A is e-Q. No. 77 Street N E 'S Sr. Registered Architect and or Engineer /1//T Name and address of licensed contractor 6 / "Nk i , Location and legal description of lot to be built on: // 3eZ 0 E. / 2 �01n Block Lot Street and Number where work is to be done Remarks STATE OF FLORIDA COUNTY OF DADE. J SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Subdivision 77 N( 9s 13 Old. 6 y%k VNt( sNo s, sEc-1• . sreeoT s -► 4A4,17 h /A/6/6.4.) 7 5 S - e-oc e State work to be done and purpose of building (by floors). state exterior colors (submit samples) L'jC1P PA?/ o / g J /D e.) AG L /wOUdit T/ o PC A/ ! 0 i/1 r i tG ale- d /'Yc- K , Fi %j c #BPS :.+ c.s• , ,7 1 /2Ot2 'r rl t T2/ AD vtit l i and for no other purpose New Building Remodeling_X Addition Repairs /C No. of Stories To be constructed of C.-0 At* taT6 •r T6 c lock Kind of foundation Roof Covering Z ° y" 0 V Amount of Permit S J71.5� Estimated Total cost of improvements S 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 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 obligatons 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 un. - . • mi : a . . ost 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 undersi • . agrees to employ only such su ntractors. on work to be performed under this permit, as are licensed by Miami Shores Village. fined) Before me. the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 foregoi application. and that he did sign the same, and that all facts therein by him stated are true. Permit No. I Date \ Read. Sworn to and Subscribed before me. Disapproved 2 P Date u• (Si Notary Public. State of Florida to me well known. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship. im & Kaiser Alisson 77 N.E. 95th Street Miami This property described as: The East 30 feet of Lot 21 and All of Lot 22, Block 5, AN AMADED PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, page 70 of the Public Records of Dade County, Florida. Note: 'Underground encroachments and utilities, if any, not located. FLOOD ZONE: X FLOOD INFORMATION: Community No.: 125098 Panel No.: 93 Suffix: F Date of Firm: 11 -4 -87 Z 0C4 7 / (9 A! ,I / 1 /° Certified To: Equity Mortg,'�q Cagporation,-McCloskey- Norwalk Title Company, .� �._.... -. American Title Inaesrance and Eichner, Jim and Kaiser, Alisson. Not-vali mki,Iss- ef�iossed with S tuveyo ,s i E S. •• /. <t' • s r �- ��,• � A BOUNDARY SURVEY 1 hereby certify that the surrey repre- sented hereon meets the minimum technical standards -set forth by the Board of Land Surveyors pursuant to Se4tiOn .027, Fla. Stat . There are no enc •• achments, ov . ps, easements appe in on the t. other than as s . ereto. Fla. // Reg. Lan /SF,c/f urveyor No. V U(.Viv Shorts _ V k'4oxidlid G A R C I A, INC. ENGINEERS - LAND SURVEYORS - LAND PLANNERS a V 3 Office address: 4080 S.W. 84th Avenue, Miami, Florida 33155 . Mailing address: P.O. Box 561131, Miami, Florida 33156 0 2 DA E SCALE D,.AWN BY DRWG. NO I , ,470 189 -7492 1 JOB: tA AD: BUILDING J.• • • • ELECTRICAL PLUMBING : The following is ready for Inspection: Inspector's Report: WORK • DONE BY: - • : REQUESTED : WILL BE READY • • • • ....••• or • • _ • • • , • • • • • • • • • • • • • • • . . . . • . • • , • • •-• • • , : . , ; . /dr• '.' - JOB: Inspector's Report: BUILDING • • ELECTRICAL : PLUMBING .. ▪ WORK • DONE BY: AD: • • • • REQUESTED • • • • • • • ; � � �' IF : • • • • • • • • • • • The following is reedy for Inspection: : WILL BE READY JOB: AD: BUILDING ELECTRICAL PLUMBING • • • • Inspector's Report: • • • WORK • DONL BY: The following is ready for Inspection: • • • • : • • • • • REQUESTED • • • • • • • .. r : WILL BE READY JOB: AD: BUILDING ELECTRICAL PLUMBING ' Inspector's Roport: • INORK • DONE BY: The following is ready for Inspection: • REQUESTED : WILL BE READY • • • • • : • • • • • • : JOB: ELECTRICAL PLUMBING :� • Inspector's Report: AD: WORK • DONE BY: • • • • • The following is roody for Inspection: REQUESTED • : WILL BE READY • MIAMI SHORES VILLAGE 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 building 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specjfied or not. A copy of approved plans and specifications must be kept at building during progress of the work. Street and Number where work is to be done_ -of fr New Building____________ Remodeling Mdition_ To be constructed Kind of foundation _ ' STATE OF FLORIDA, } ss. COUNTY OF DADE. - Permit No. Date_ Disapproved Date (Signed) Building Insp or (Signed) Council Approved__ Date Disapproved te 7 - , ... Owner's Name and Address____' ___,.° _ _ . *)._ '-- i' . No Registered Architect and/or Engineer ' . .. 4 $ . ! Name and address of licensed contractor .../ ' -- 0. -1.--- Location and legal description of lot to be built on: Lot 1-* Subdivision / State work to be done and purpose of building (by floors) A ` and for no other purpose. Repairs__ No. of Stories__ Roof Covering__ •••I Estimated Total cost of improvements S.__ • of Permit $ Zone cubage required __Plan Cubage - - ' Distance to next nearest building Size of Building Lot PLANNING BOARD DATE Chairman Member Member Member Member Member Street_ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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 be 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 Before me, the undarsigncel authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. _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. (ml Vde Aj e/74,4,07e, Lot Block Owners Plat Restriction Chkd. By To Planning Board. Re-Submitted . to P.B.. _ Plans & Spec. checked by To Council Bldg.Permit No. ..23 3.3 Type 1.1:5 New Constructjen, Plumbing Permit No. 2 6' Septic Tank 2 .7 �r ;4. 5 — , Namo Su division General Cdntraet Lic.NO. Address or Zone Req.Cu.Ft. 4t+0 a a. • - • Cub •Cont,26, W:6 / By :'approved 1, ° Rejected Approved Rejected Approved Date -.Z 4 . -yi Fee Stories / Altprations Date - 21 Sewer Misc New Const. Altera_ti_Q a_ tt tt Lic.No. Address or�honc� "_ tt ejected // . "7 Cost c7. PO 0 °=- Roof Rept�irs ___� Fee sr: t It 1,; 41 iectri4.0 Pormit ,S44 v.„ Dta.#9 2.47, 4t(Fee_ Fixturos • Heat-9.11, Motors Hi SC New_COnstruction ButTritng Founddtion_, . Pindl:Glean-Up ?lumbing Roughing - - Fixtures Sewer Septit Tank Son Heater - Final Certificate ti ia1' Roughi, Fixtures .:. Final. • ' ArreTfltion . - Date By. ,-Re-inep.„ By Re By ,., ali ... ...._ smirid f iiiiiiti Eng , Date r z .3ervice O. K. to Power Co • e-itA :414 Re-Insp. •Ammommormitewar ossimer By Cert Of Occu By • • Re-Insp. By-- • • . IssUe Re-Insp. By • By N° 196 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Mi I�1 i Shoas Village, Fla , , Owne , Age or Tenant of Building f Lot ' 0' j Block ' � Subdivision o J Street Address / .? Approved use by occupancy Remarks • This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildiq of cturgs. } f Y r .� . y 9K ' ofi BUILDING DIVISION MIAMI SHORES VILLAGE PERMIT No. • Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the / wiring and apparatus installed at r Sf by Address for - owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H. P. Space Heaters watts Other Apparatus ,t ELECTRICAL INSPECTOR. LOCATION 77 N.B. 95th Street GARBAGE TAX RECORD PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID I RECEIPT NUMBER 1940 - / / j / l J • 1941 1942 q 4/14/ � • S /Q ° ° 9'-- '/ .2_7 -`t� / 2 -V 2 r(,, �f�17` • 3 s , • 1943 1944 /Q • O 0 /ii -4 402 /0 43 . - - )' 1_ g J - Li s „ ._ � 6 z,9 y aie 71._ $? / q f ■ /OS' /'J 44 .J 7 -'/ /V Afl J .. .. 1945 1946 /6. a'V /er (5C ✓/ / / lI` .( // 1947 1948 / Y •OV 6, '/ / 3- 3 / /C1,Y / O O I /'1/' 0 �" - j4 7 ` / /L• -/7 t/ It 1949 le �� �■' 3/ / a - d / c J ' - I y / - 5 - - . 5 - v , , / / ' 1 9 5 0 LOCATION 77 N.B. 95th Street GARBAGE TAX RECORD 77 N. E. 95th Street by year annual tax period used 6 j - v amount paid date paid receipt ## ;7,0 0 / /I ���� �• BUILDING ELECTRICAL PLUMBING Owner of Building Legal Lot —, Description ! 30 •� Architect Contractor or Builder r MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 2335 Work to be performed under this Permit 2 { Subdi- vision Address of � ' , " " Value of Amt. of g / / / /L% / Project roject CJ Permit f �ildin // f This permit is anted to the contractor o uilder named above to construct the building or to install the equipment or device described in the Iication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance ith any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may .,e revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or ,drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. :'x `�'°" "•"`` . r, Signed • r'`' ( . : 1. 1 • By " f C" . - �.... NSPECTO In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinancegrAnd regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume te,ponsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER 1/ Contractor's License No. BY AUTHORITY 194 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. Owners Name and Address ........ Registered Architect and /or Engif4 Name and address of licensed contractor Location and legal cscriptt of lot to be built on: Lot.. -6.- 0 ` t'...„).J 7 lock Street and Number where work is to be done State work to be done and purpose of building New Building Remodeling Addition ✓ To be constructed of Kind of foundation., e-F- Estimated Total cost of improvements $ Amount of Permit t 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 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 wo 1 � • be performed under this pennit, as are licensed by Miami Shores Village. Remarks.___ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before erne, 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 same, and that all facts therein by him stated are true. 2 ". Date- 3_ L _._ Read, Sworn to and Subscribed before me. Permit No. .___ Disapproved (Signed) te._ Building Inspector - Z y Commission Expires Chairman Member Member ...... _ Council Approved. Date NOTE: A charge of $1.00 will be made for the Planning Board. A re-inspection ice of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT No.... . _....__. Street r ec.._ ..5. O �-- d...�"� — c ( by floors) ... ... ........ Subdivision - r .5, ..._._tr and for no other purpose. Notary Public, State of Florida PLANNIN» OARD DATE Repairs No. of Stories Roof Covering ..� to me well known, Membcr Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re inspection is made necessary by improper notice for inspection or faulty MIAMI SHORES VILLAGE, FLA. JOB I 'A /L 1 ADDRESS 77 /// l'15 r INSPECTION ;7/4.Gr. TIME READY t' 2%S1 7 )- �J REMARKS• INSPECTOR N_ 13 DATE 7:,/-74.,- State work to be done and purpose of building (by floors) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hcrchy 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 iuilding 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. J� Date..._' .� _.._._.._ ._...._......_._...._....,,19 Owner's Name and Address . .5..!' k l Y.�G 2 z- .... No e l 7 Al g: Street._... Registered Architect and /or Engineer.....S74' j 4 >Qd s 4 efss A /..I;4a F- :„a- Name and address of licensed contactor gar "I 4 Location and egal description of lot to be built on: ... Block,. Subdivision.... � llG.R?G.s9.J_ .._ Q . . . 1 , ? �l dill! z z. 7 7 N I �r Street and , umb w e ere woek is to be done /• se l9 7 O C OJE ... and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering...it -rr�;� Estimated Total cost of improvements $ Amount of Permit S. J ' o ° 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 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 to be performed under this pennit, as are licensed by Miami Shores Village. Remarks..._ (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss 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.___._ Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD ..... .DATE Chairman Member Member Member Member sass.. Member sass_ 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty materials and /or workmanship. 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 budding during progress of the work. Owner's Name and Address ....J..C.:[� MIAMI SHORES VILLAGE • J Registered Architect and /or Engineer Name and address of licensed contactor ° ' _. r Location and legal description of lot to be built on: Lot 41 '1 t Block Subdivision /-4'" 5• �* Street and Number where work is to be done State wo k to be 4one and purpose building (by floors) ZP't STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved (Signed) , tc- L _ No.. iYa. . Street___ Chairman Member Member ...... _....__..._.._.._.._.--_-- Council Approved Date pp � Date. ��� .. �A _ _._...... _ _....._._........ ,19..�� and for no other purpose. New Building Remodeling Addition. .. ��a Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ' Amount of Permit S. 1 Zone cubage required Plan Cubage Distance to next nearest building Jett, Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said builditr. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does he by,certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, bci g Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will requir sot {ilar 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 w to be performed under this pennit, as are licensed by Miami Shores Village. Remarks.___ (Signed) 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 same, and that all facts therein by him stated are true. 45.-1-1 7 Permit No..__. Date �f-- /t- -'_ Read, Sworn to and Subscribed before me. ate Notary Public, State of Florida Building spcctor My Commission Expires PLANNI BOARD DATE Member Member Member Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has the Planning Board. A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for materials and /or workmanship. to me well known, been obtained from inspection IN faulty N° 196 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla., Owner, Agent or Tenant of Building Lot f Block Subdivision Street Address ,/ ` • Approved use by occupancy Remarks • This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVIS1pN Owner's Name and Address____ '" C. ` -' Registered Architect and /or Engineer Name and address of licensed contractor State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. SD. Disapproved ___— __________ Date (Signed) MIAMI SHORES VILLAGE 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 building 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specjfied or not. A copy of approved plans and specifications must be kept at building during progress of the work. e ,e- No —_ • 2t v rt" 161 ?`:''"te Location and legal description of lot to be built on: rr �/ Lot 1 ,f�1 �' t ' Block_ �_ Subdivision ` ' " " L " ' " e 1t Street and Number where work is to be done______ +�� _!! rL_____— _and for no other purpose. New Building_______ —_ —__ ___ emodeling_ dition Repairs No. of Stories To be constructed of_ 19 ` ' Kind of foundation ''" '- __4 a Roof Covering t< 't *1 " Estimated Total cost of improvements $— - ______ Ainount of Permit $__I Zone cubage required_t. Plan Cubage�__�1 Distance to next nearest building Size of Building Lot 4..../ Maximum live load to be borne by each floor I hereby submit allrt4e plans and specifications for said building. , Al)? notices with reference ,o the buil and is construction my sent to (r t` "f./.:. j `, . , _4.- . ,ice / till r *`!. t } . . fir... The undersigned applicant for this building permit does here . , g pp g p b'g certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ggneral 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 subcoittrac rs, on work to be performed unders permit, as are licensed by Miami Shores Village. y� ,/ .�r- l ' ' Remarks (Signed _, _ 1 ' . ' ' ' , � is � " ` r '/ ,'�l $ .. f Building Inspector My Commission Enpires PLANNING BOARD DATE Chairman Member Member Member _ Member Member Council Approved Date Disapproved Street.__ Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 Date Read, Sworn to and Subscribed before me. 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. Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requepr ) Date ime Approv Correction Re- Insp'n Fee ) — Name Address — Company Phone # For Inspecto#: Name & Date Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 - — –�� Building Inspection Request �) Date ime For Inspe : Approve i Correction/ Name Address 7 ) 'Company `` A Cr 1:-=-1 5 /5-1/181'4 Phone # Re- Insp'n Fee ❑ Name & Date