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1050 NE 96 St (4)Swett and Number whew work is to be done C - S N.c Remarks • Disapproved s Date. (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT .Application is hereby made for the appro\al of the detailed statement in u►e plans and specifications herewith submitted for the build in 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. , ) p ���� Date / ', /� /- , 19.>L Owner's Name and Address L Ks (L..1. /? ......_ No.`g - 'Sb'eet,...:L.4F .; FC C_ Registered Architect and /or Engineer C�� • n.••.nr•In.nn. C„- .e nTe... •.•••.••.. • ..•1.. Name and address of licensed contractor. G(1 . €. C`:y.Me- -. ° N .. .7 ._. ...-.. .:f .s t33(6 z Location and Legal description of lot to be built on: Lotw,t 9d- ))/ /0 nlock (1 Subdivision..lt�f....... ; .. // , 72 .01 ,isr .5 "6 , /f6i1!e ( e -V . /y5 __ yG s:)2 State work to be done and purpose of building (by Iloors). L6P�)..Cd G....... - 1 y✓. ' _... _.1 41 - 141 ._.. ( NQ... � �- ,. . G J IGc =J. _ -- r.M 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 $ L. -.. . fi — Amount of Permit L Zone cubage required plan Cubage Distance .to next newest building.. a 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 5066. Compiled General Laws of lorida, Pennancnt Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors o 6 employed by hint in the work to be performed under this permit; and will post or cause to be posted for inspectio e of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suchi;, rt•i performed under this pennit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. } as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmenu, personally ap- peared SE atcves, l;vt - 2l - F 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, acid that all facts therein by him stated are true. Permit No. ._ 1 + Date 4 1 7 14/ Read, Building Inspector ( PLANNING BOARD Chair ;nan Member Member .. _....._..._._ ...._. Council Approved Date orn to and Subscribed before me. Notary Public, State of Ft rids ,( )TARP PUBLIC STATE OF FL3,71" My Commission Expires 1: ^.X.L.CMMi;a; :d..r:{r:f.5—.10 251 ,;i I‘JDED GENZ , J. IN ',;,A,NCE I i • • ..DATE NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the I'Luinir,g Board. A rt.-inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice materials and /or workmanship. f __ ....to me well known. Member Member Member .. __ ................_. Disapproved Date has been obtained from for inspeetirtn oar faulty Location and legal description of lot to be Lot.YV -z.C1' A.1.1....IP Block STATE OF FLORIDA, i COUNTY OF DADE. ss Disapproved (Signed) Building inspector Chairman \1cu.ber Member .. Council Approved NOTE: A charge of 31.00 will be made for the 1'Lrnnir.;; Itu.trd. A rc- rnspection fee of 31.00 will be charged materials anti/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ua the plans and specifications herewith submitted for the build in or other structure herein described. This application 1s made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iuilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. uilt on: r Street and Number when) work is to be done... /$- c%:.� SZ?eCe S ork to be done anEl purpose of building (by floors)...4e 4'3....l' G Date.. Remarks _ .. _..._.__ (Sig PLANNINC BOARD DATE dPe /r/e,.k/5 //9!'r Date. loS Owner's Name and Address .� .... »..» ..�d., .. , No.�B» a:.. Street-- treet.. G'».. C Registered Architect and /or Engineer n.•••nr•nrrwwnw e•mwa,ewr..r. Name and address of licensed contractor S Ze? "-. 6 /.. 2L0c! - i7?,i3fc °Z Subdivision.... .. : ... o.LQ and for no other purpose. Ncw Bui!ding Remodeling Addition.. Repairs No. of Stories _ To be constructed of Kind of foundation Roof Covering M Estimated Total cost of improvements $ r/ 5 Amount of Permit $. %/5-4 Y..t. A..G Zone cubage required _.._....Plan Cubage Distance .to next newest building it Size of Building Lot \faxunurn live load to be borne by each floor I hereby submit all the plans and specifications for said building All notices with reference to the building and its construction may be sent to The tinier.igncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennitnent Supplement, and has complied st ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted f . spection on the site • r . work such ublic notice or notices as arc required by the Act. The undersigned agrees to employ only such pcnnit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared to me weU known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ZO Read worn to and Subscribed before me. Permit No /.11!.1.1.25! Date �C- Notary Public, Smt vuni.IC STATE OF FLORID\ My Commission Expires MY »S>AlAll$ :1CQL� .Ia ' A.ES .!!1LX 25ast�•_ . P: NDED THRU GENERAL INSURANCE UND Member....... - ....................... _._.. .._...._. ........... ......... ......... Member _ Member ...._ Date Disapproved Date making corrections or changes to this application after approval has been obtained (man when such re- inspection is made necessary by Improper notice for inspeatinn or faulty