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1131 NE 97 St (9)STATE OF FLORIDA, COUNTY OF DADE. J ss. Permit No. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR = UILDINO PERMIT Application is hereby made for the approyal 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 <, �. ��� 4 e� ". _ No..r�.. �:.� ._...._... Street.! � 1 _Sr Registered Architect and /or Engineer Name and address of licensed contractor S®4 I.eC Location and legal description of lot to be built on: Lot Block 4 4 Subdivision s i1 of .191 g ege e4<d' Street and Number where work is to be done /13/ 11 17 f State work to be done and purpose of building (by floors) ,47 B0 1' /i Date D ding Inspec Chairman Member Member sass.. ANNINC BOARD DATE Member Member Member 24 63 # Ifplid,t, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering evie Estimated Total cost of improvements $ ® a A mount of Permit $,. 82 ~� Zone cubage required _.._....Plan Cubage Distance to next nearest building Size of Building Lot ?' a es 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 poste 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 bcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (S ed ).... eft' -rA? a'' k) C"%- 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. Council Approved r 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 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. (Signed) Disapproved Ll?��_��:.' Date MIAMI SHORES VILLAGE Applica is hereby made for the approval of the detailed statement or me plans and specifications herewith submitted for the build inc or otheig structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and nII 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 bc kept at building during progress of the work. Date..--- ..._._ _....._._�..._.... ,19.. 1 Owner's Name and Address L3wrGneo B. Noneyhun _ U31 NE No...._.�.1.. » Street._._ Registered Architect and /or Engineer..........M tor ,,:,. ..... ..... :........:.......:.....e „,.,, Name and address of licensed contactor ©� (Contract Out) Location and legal description of lot to be built on: Lot 5 Block Lao Subdivision .MLa rn.....Sb.tare :1. S n e _ a.. .Pas .L3.... @.. 51 Street and Number when; work is to be done g �? $ S State work to be done and purpose of building (by floors) Close ge rc ge and build pro in roar as per pleas p also 5 foot walk, n .l �.x:23._.Riittah and for no other purpose. New Building Remodeling Addition X Repairs No. of T st i ori l e e s To be constructed of CBS Kind of foundation per ` ns R oo vering Estimated Total cost of improvements $ Amount of Permit $. M 9 Zone cubage required .Plan Cubage Distance .to next nearest building Size of Building Lot 75X112. 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. addx .s.s 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 Sup dement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in he work to bc performed sunder 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 su subcontractors, op work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building Inspector 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.. Permit No.._ I `�� Date Lr Read, Sworn to and Subscribed before me. PLANNING BOARD Notary Public, State of Florida My Commission Expires 6 /P3/8 . 1. °Q ..... .DATE to me well known, Chairman Member Member Member Member _.._..... Member Council Approved Date Disapproved Date NOTE: A ch.rrgc of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the 1'l.innir.g Board. A rc inspection Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. 4 q PLANN ING BOARD AGENDA OF ‘113P ks1 ITEM NO. Name of Owner /Applicant lhB Phone No. "10 a 041M- Address of Property, and /or Legal Description r15 6� ° 1 s 11 Nature of request: Present Zoning: Area of present building. *t,1 Area with proposed addition: gitil Parking Spaces Provided. Parking spaces required with addition. 1 Setbacks as per code. ViD l e (R,`Uj -Ro 155 r Setbacks provided. Variances /exceptions /Zoning Change: Council Action Required Date of Applicant Notification Planning Board Action Council Action AfPRONAt occ PLM pan. G cZAas t>ipcDN o Ro Director Building and Zoning GilRAV6 '600.1.0Q S fRfSWIC c3OfRlb wiz.ovm, 0e • r-.O4' fl oN of Netv SL C— TMOAl. 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