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67 NE 94 St (7)c Application is hereby made for the apnroyal of the detailed statement of the plans and specifications herewith submitted for the build - ing, 0 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami S:isaas Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and s; guictia.as of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved ialasts and specifications must be kept at building during progress of the work. Owner's Name and Address MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT egistered Architect and /or Engineer... :i l Ncrae and address of licensed contractor C %5 521k!1....1 0 a ( « '! C' a'r � 1 4 1 ' - ocation and legal description of lot to be built on: 11, T` C. / Block C i Subdivision l / G v� `" " C S = Strcet and Number where work is to be done 7 y / 1" C? 7' State work to be done and pu Aw e' bujlding (by floors). ..._ Ti • - E , fit" a ! t i Date ;'ii �t'r C M � (6 No and for no other purpose. Addition Repairs No. of Stories Now Building Remodeling To be constructed of kind of foundati Roof Covering Estimated Total cost of improvements $ r 6 ' Amount of Permit $ i - Zone cubage required SS .Plan Cubage Distance to next nearest building 4r Size of Building Lot Maximum live load to be borne by each floor I hereby submit the plans and specificaticm reference _ s for said uilding. All notices with referee to the uilding and its construction may be sent to � "F4e /r = :� .- �l • Street._ R4 19 1 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 rovisions thereof, and will require similar compliance from all co ctors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins ion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su tractors, on work to be per ormed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) _ � -/ - C/7) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty 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—.4.7 Date - 0 ._ 27 Read, Sworn to and Subscribed before me. Disapproved ... Dat .2... f 1 -!> ..J ` Notary Public, State of Florida - -I: (Signed) - ` ✓? : � .._ ` � : Building Inspector My Commission Expires PLANNING 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 S1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 7 - / il ;c/ 1 6 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 iuilding Division of Miami Shores Village shall be complied with, whether herein specified or trot. A copy of approved plmis find specifications must be kept at building during progress of the work. 7 ate..._. . .1 .— _sass... ' . _... ® 192 % ��" -1"4",..)-Z Owner's Name and Address . � -> _ :+:?X — No 2..._.. Street d a_ ,.... Registered Architect and /or Engineer Name and address of licensed contactor Loe3tion and legal description of lot to be built on: Lot Block Subdivision STATE OF FLORIDA, COUNTY OF DADE. ss. therein by him stated are tote. , Date. Permit No Disapproved (Signed) Dat / 0 P X64 Jlcrmber IAMB FILMES V L LADE BU1L.DONG ONS ECTION DEPARTMENT UCATVDN F R BUILDING PERMIT Building Iasctor Street and Number where work is to be don© .. f c V fir:... Sts.te work to be done and purpose of building (by floors) ..!d. ,. :...h - -• - - -- -sass. :a . . and for no other purpose. New Building Remodeling - -- Addition Repairs No. of Stories To be constructed of . Kind of foundation Roof Covg Estimated Total cost of improvements 0 ' -T Amount of Permit w. c , Zone cubage required _Plan Cubage Distance to next nearest building Size of uilding 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 \Vorkmen'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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work tQ be performed under this permit, 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 tone, and that all facts PLANNIN( 3OA)RD DATE Chairman Member Member Member .. ... Member Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to the Planning Board. A re inspection fee of 31.00 will be charged when such re-inspection is made materials and /or workmanship. ,.7._._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida Mv Commission Expires to me well knowsn, .........Date this application after cpproval has hecn obtained from necessary by improper noire for inspection oe faulty