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797 NE 94 St (12)State wqrk to be done and purpose of building (by floors) (Signed) IA B SHORES VILLAGE APPLOCATO BUILDING INSPECTION DEPARTMENT. N FO Chairman Member Member ...... i -� Application is hereby wade 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 Villar 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. Owner's Name and Address ......, '... ..1 .. 1 ... No. ...:.. 7.. _. SereetZ/ _. 9 Registered Architect and /or Engineer •., .,..... -= n... +_,,,1,_ -.•... Name and address of licensed contractor o s .." ZP.. UOLDONG PE Location and legal description of lot to be built on: r Lot `sue ? Block & 7 Subdivision.. / J / 5 : .P r ex ....._._.... Street and Number where work is to be done ........ 7 .�il. '.? V S21 — •• -• - -- - -- e. &I 4- : C- tom. •t_ 3, 30 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ✓` © ®Q Amount of Permit $. 7 a,® 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 work to be performed Lander 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 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 ,r ___ Read, Sworn to and Subscribed before me. Disapproved PLANNI +C BOARD DATE MOT Notary Public, State of Florida Building Inspector My Commission Expires Member Member Member 7V to me well known, 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oa faulty materials and /or workmanship. . • _ ...... WAM° S - g 0 BUILDING INSPECTION DEPARTMENT APPLICATION FO fl ES VOLLASE UilLOONG PE 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. Delte....Srii-61..E. 4 . ------- , 19.: OV•Tler Name and Address re, /.f/ --- — No.. 2? 7 street f-t- Registered Architect and/or Engineer eg !I Name and address of licensed contractor e. t AD /- ,&.1.-4 5/ 0 Location and legal description of lot to be built on: S / ni.Pg-470 f_ itC-Ec4 — 7 Lot Block Subdivision Street and Number where work is to be done 7 17 le.e ,...9.5zc4 -,1 State work to be done and purpose of building (by floors) rea4s.E — ET-) ‘2.-. t...( A c't p # 1.,: t --- Ea 4›F A.t1s— . and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 4g' 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 Al the plans and specifications for said building. All notices with reference to the building and its construction may In) I MOT 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 Siipplement, 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 pennit, as are licensed by Miami Shores Village. Remarks. (Signed) STATE OF FLORIDA, COUNTY OF DADE. Ss ' 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. 7 Permit No. Date 6-i - 7,r Read, Sworn to and Subscribed before me. . cr 6 ' Disapproved (Signed) Building Jpcctor My Commission Expires Notary Public, State of Florida to me well known, 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 niter 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 ez faulty materials and/Or workmanship. l� N IT S G H 7 - y � GO ARE- Td 8 i_ , A ✓ 6O x 2 E s r /'l T ,°,4 v i_ / � ARE' E' A ro 3 E ■