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1122 NE 97 St (3)V L LA E BUILDING INS- ~EC:TION DEPARTMENT AP LI TI®N FUR j 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. Date , 19 Owner's Name and Address 1=, �� '� No ' Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 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 I {ind of foundation Roof Covering 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 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcor�,traeto�s, on work. to be performed under this permit, as are licensed by Miami Shores Village. ;l c�' Remarks---- (Signed) ti��( ^s r, 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 / /1 () t ' ` Date / ,) ` / Read, Sworn to and Subscribed before me. Disapproved Date (Signed) �� ' � uilding Inspector My Commission Expires Notary Public, State of Florida 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. \t , APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement vs Isle plans and specifications herewith submitted for the build • inc 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. Date... .. ...11� — _......_ — ...19.. — .:i Owner's Name and Address .... .0 . ..n.... 4 . 4�;. . .a..c_. ...� .. e.0 `:.,_ _ No.i.� . _ . ... Street_.._ L i _ . _-. Registered Architect and /or Engineer.... V ..b d p k 4 .L a :•5+: 4-e , 1 „..,. n.••• ,,.,er.nner «ae• ore.. Name and address of licensed contractor... b.C1t.?. (C..:.Ck. _.41.... ..C�...tf3.. ®.. ._.....3cf.. 5 _ ... ) _() - : Location and legal description of lot to be built on: Lo 4.: - Block I.C.. - Subdivision .......ww ..._ — ......... .. Street and Number where work is to 'be doe f.t ;La C o State work to be done and purpose of buildin MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT _ 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 $ r°2 a Amount of Permit e 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 Supftleinent, and has complied .. ith the provisions thereof, and will require similar compliance from all contrac -.rs or sub - contractors employed by him in the. wor to be performed under this permit; and will post or cause to be posted for ink ectio the site of the work such public nosicej or notices as are required by the Act. The undersigned agrees to employ only such subeo tra rs, on work to be performed Wader this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. SS. Disapproved t ; .. Date uilding Inspector 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..__� r% 1�.f Date 8.�.).1.fe 1....._._._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 fmm the Planning Board. A re- inspection Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. PLANNING BOARD AGENDA OF [40\MMO Zi4 SI ITEM NO. Gov aw, kbeio 9 Name of Owner /Applicant Mee crf4 Phone No. Address of Property, and /or Legal Description QQiZ V- 91 9 Nature of Request NO ? ‘9 ^!� `� VtAb% WJ *®b Present Zoning t•— Area of Present Building Area with Proposed Addition Parking Spaces Provided aiami cfhores9 llage F L O R D A Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances /Exceptions /Zoning Change 50 0 wre A WaiVi / ® ®(V' d ;,' A ) ' Council Action Council Action Required Date of Applicant Notification Planning Board Action Wit 101h1 Nct Director of Building and Zoning STATE OF FLORIDA, COUNTY OF DADE. SS. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING `'ERMIT Application is hereby wade for the approval of the detailed statement ur 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 ..uJ.' CALA,A., ° U u �Cr .0 � 1�,_._ NoLit:kel, Registered Architect and /or Engineer A ( . A,4" a . ti1 ti+ o `amt and address of licensed contractor. :_. .� :.s. 1 .: 1\....,:,.A, a.t 4` :.��:... -..N : . -.,.. ....�.:iv.:. a._`'..... =� State work to be done and purpose of building (by floors).....__E...e..VI—Ca. % tr 4._...c.,.1 � " and for no other purpose. New Bui!ding Remodeling Addition V Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ °`— Amount of Permit 5... ..x.0}0 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, Prominent Supplement, and has complied with the provisions thereof, and will require similar compliance from all coOractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for i spection on the site of-the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such spa ' ntiractors, on work to be performed under this permit, as are licensed by Miami Shores Village. , Rem uks (Signed) / 1( ` oa- V r - \ u 7. // G 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.. IA j p� Date 9 4 D Read, Sworn to and Subscribed before me. Disapproved. ` ..:.�� . Date Notary Public, State of Florida (Signed) 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 fmm the Pl.innir,;; Board. A re.in.pcction 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.