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WINDOWSZ lie pi 52-05" 17 a °9® l 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. ' n Date ..._,.. » ».�_.....�.._._..._._.r ..� _.._ »,. ,19.1.4 Ow-ner's Name and Address .IA D k� (2 $ ca N .... No...11.C... nT _.. Street.12ci r n 6. Registered Architect and /or Engineer , ,.,, ,,, tilt .,,,,,,,.,,. tilt,. �, :� °Ca (- V a�C c.° �� S'I C . � -I - - /'f . Ivii.1 � 6 Name and address of licensed contractor '-4 `: .�' ` Location and legal description of lot to be built on: Loth Street and Number where work is to be done ) o C' S_ ° .C. 1 5 . State work to be done and purpose of building (by floors) Z t�o�t�oc���� �?� !^3 t — cam ck s Vte.AvNE- . New Bui!ding Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ .r..5 00 Amount of Permit 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; 0 be sent o lf / The undersigned ar MIAMI SHORES VILLAGE, FLA. of Gabor under the tloru ..� and has complied with i the, in the work to be perfoi or notices as arc requires permit, as are licensed Remarks.. STATE OF FLORIDA; COUNTY OF DADE. Before me, the and peared and who, being by me 6 of the above described therein by him stated ara Permit Disapproved (Signed) Chairman Member Member .. .. Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Block I g 0 Subdivision c ? Jo b (I/ ADDRESS INSPECTION TIME READY REMARKS: N? 5932 INSPECTOR - DATE and for no other purpose. its construction may cations as an employer 'erm:ment Supplement, :tors employed by him fork such public notice performed under this gments, personally ap- to me well known, A one, and that all facts Member _ Member 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 1'l.annir,;; Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLA. ADDRESS INSPECTION r,/:;; TIME READY 7/ REMARKS: INSPECTOR N? 5932 DATE MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT // "6'5 /7 „®9® / APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement are the plans and specifications herewith submitted for the build • ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progreu of the work. Date ..._...__....._..—.. ._.. _ S.I. ---...19..14 Owner's Name and Address M �� (IAE .... No...A.C.J. T .... Stree tC. ' - --' Registered Architect and /or Engineer ,.., .'II ...,,,.,.,.,„........ ,,. ;44.17)71-7/"."1"t• ..... Name and address of licensed contractor t) � NC t ° 4 �°-a S I C.? U t.J ,`y 3_ ea .. 4e.• 1 C-; Location and legal description of lot to be built on: Lott Block (g 0 Subdivision e 4 " = 1. Street and Number where work is to be done 1 0 S IQ c ct 5 *_ State work to be done and purpose of building (by floors) al.Q.Yte..., IA) ` ' 31, - 0 � �..!=.t...�.1_� Z t$e,�t oc���� � �- �tsa.... e 1 v,? N2 is 1..1 . grad .• and for no other purpose. New Building Remodeling Addition Repairi No. of Stories To be constructed of Kind of foundation . Roof Covering Estimated Total cost of improvements $ Amount of Permit $. /5• 4.) 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 arc required by the Act. The undersigned agrees to employ only such ` bcontractors, on work to be performed under this • permit, as are licensed by Miami Shores Village. Remarks..._ .__._.__ (Signed) Date 41, Disapproved Date, (Signed) �bf Building Inspector STATE OF FLORIDA, COUNTY OF DADE. i as' Before me, the undersigned authority, a notary public, duly authorized o 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.. 60 Zji Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires _...» • 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 after approval has been obtained from the Planning liu.trd. 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 anti /or workmanship.