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1147 NE 97 StApplication 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. STATE OF FLORIDA, COUNTY OF DADE. ss APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Owner's Name and Address .1 No I Registered Architect and /or Engineer Name and address of licensed contractor__✓ -X- ` Location and legal description of lot to be built on: Lot Block Sub ' ' ision Street and Number where work is to be done. .JE.`f`.. V, 2 , State work to be done and purpose of building (by floors) Chairman Member Date �' 19 `, Street ���' n � X �° and for no other purpose. New Building ` Remodeling. Addition Repairs No. of S rie r To be constructed of Kind of foundation Roof Covering e = Estimated Total cost of improvements $ ©' �� Amount of Permit $ 5 �� 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Permanent Su lenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ by him in the work to be performed under this permit; and will post or cause to be posted for inspectio on he site of the work such ?lic notice or notices as are required by the Act. The undersigned agrees to employ only such u contrac ors, n 'ork be perforry c under this permit, as are licensed by Miami Shores Village. Remarks ( Signed)._ k7 ra 14•14. 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. ? • >> _ , � .0 -� �� Read, Sworn to and Subscribed before me. Permit No Date , Disapproved (Signed) ate � . „'� Notary Public, State of Florida Building Inspector ` My Commission Expires PLAN ING BOARD DATE 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. Location and legal description of lot to be built on: Lot -� Block .._ -_ -/ , Subdivision Street and Number where work is to be done ,.// // 7 Remarks MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING 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 keRt at building during progress of the work. ' , .,,, :-..-.; ._,,, ) 4./ . , Date... - / , 19 Owners Name and Address - r No.- 1 / Street__ .'/ a ° /''' .._. • n Registered Architect and /or Engineer � /%/ / -- -? -/' Y � 7 4' - ;,-'7;> . Name and address of licensed contractor: %!:u c . % " _ e .-=, r ' ))-1.W. ( , i, Y- o State work to be done and purpose of building (by floors) ,- ,. - - - ' i„ / _7 �� and for no other purpose. ' - New Building Remodeling A4dittbn ,. Repairs No. of Stories. /L // ,/? To be constructed of , _. !, c %�_. Kind of foundation %� Roof Covering Estimated Total cost of improvements $ � / / , ' % Amount of Permit $ � �' , -_- ':.._.. -- Zone cubage required plan Cubage 0 Distance to next nearest building Size of Building Lot _ ∎% G // Maximum live load to be borne by each floor I hereby submit ail the plans and specifications fox said building. All notices with reference to thepilding and its construction may be sent to < / r / ` ' 1 z / /i f ) = ,� 0 %e The undersigned applicant for this to' uilding pennit 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 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) -. w,;?'', <'(/ /, STATE OF FLORIDA, COUNTY OF DADE. j 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 Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chainnan 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. r -c1 - ;' Nva