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FENCEApplication 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 Owner's Name and Address. /ij/r e Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot 7 Block. /7 Street and Number where work is to be done.___ be sent to _ STATE OF FLORIDA, COUNTY OF DADE. ss. Permit Disapproved (Signed) BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Bui ding Inspector MIAMI Sa-9 ES VILLAGE Date ay Subdivision State work to be done and purpose of building (by floors)...// and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering co Estimated Total cost of improvements $_._�� 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 s mit all f. hh en l ans a ecificatons for aid building. All notices with, reference to the building and its construction may I l - / 6 / GAG m6 : 33/46 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all co ors sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for insp o- ° on site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco a. s , -n work to . - 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 same, and that all facts therein by him stated are true. 44 , Date ` / r' a Read, Sworn to and Subscribed before me. PLANNING BOARD . No../69 Street.. 61?J � 33/66 to me well known, Notary Public, State of Florida My Commission Expires 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 61.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. AG' IFEMCE .'v '1 r I JL 7101 N. W. 69th AVENUE • MIAMI, FLORIDA 33166 -�S Ne a g.o,f3e, am ede t s s wr%e 5; -SPA -1 83 COMPLETE ERECTION SERVICE —ALL TYPES A0D 0E100111 OF CAI LI tZ PEI3CE OQOIO6 TIAL ° IpOU3TOIAL ° CU:1E1E011a 0 OC14OOL0 ° 114OT1TUT1Op0 ° PAORO ° OLAVOOOUp00 0 OOLP LI O Application is hereby shade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. 'Fliis 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 Ville shall be complied with, whether herein specified or not. A copy of approtfa 1 plans and specifications must be kept at building during pretgress of the work. Date Owner's Name and Address /."/.. � �� /` '� mi` /� '`l' U�, R1 © � Name and address of licensed contractor Council Approved Building Inspector M DAM D S E E S V LLA C BUILDING INSPECTION DEPARTME T AFPLDCAT DN Fo Q ELgOLDRNO GD MG 10T Registered Architect and /or Engineer Location and legal description of lot to be built on: Lot 7 Block. /'i% Subdivision � � bdivision `.f4 S• 62e Street and Number where work is to be done....�!_� -,��� Vf7 • � State work to be done and purpose of building (by floors).. /7'^... ' .� \ L� and for no other purpoa. New Building Remodeling . Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 0- Amount of Permit O�� Zone cubage required .Plan Cubage Distan:e to next nearest building . __. Size of Building Lot Maximum live load to be borne by each floor I hereby mit all he plans ar ispecifications for said building. All notices with ence to the building and its construction may Q' U l,6 1 33/6 6 be sent to . /7.5 vtirL 7/01 i PLANNING BOARD 6' rJ ..- - --- ti /i . 3 3/66 e 7 /// /74 DATE 6- The undersigned applicant for this building perinit 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all .•ntracto9.r 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 the site o the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su. . try= tor•, on war be performed under this permit, 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 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. (Signed) Notary Public, State of Florida My Commission Expires Chainnan Member `.6eL. trr Member Member .. Member Date Disapproved Date NOTE: A ci,.uge of $1 00 will be wade for making corrections or changes to this application after approval has been obtained from the Planning Board A re inv>CCtir,u fee of .S1.00 will he charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. R L� 7101 N. W. 69th AVENUE 0 MIAMI, FLORIDA 33166 0, 7C aniedeaS P 4t W'e 3 .-6 d883 CO4PLETE (DICTION SERVICE -ALL TYPES AND NEIDMITO 01 CHAIN LINE( FENCE 0E8IOl•ITIAL • Ip OUSTOIAL • C(Gl(TCOI[9 • DC14001.9 • Ip OTITUT10TJ0 • PAOOO • PLAY00011400 ° GOLr LIp90