1090 NE 96 St (4)Present Zoning It
Setbacks Provided
Council Action Required
aiami cfhores9llage
F L 0 R 1 D A
PLANNING BOARD AGENDA OF StrreSOM R.7 t9INITEm NO. 4
Name of Owner /Appl i cantALLA"S 3 ?D_.R Phone No.` 5* 4'04
Address of Property, and /or Legal Description 1O4 1 Q6 SI%
Nature of Request ORAPYAL O S is �LA►��
Area of Present Building
Area with Proposed Addition
Parking Spaces Provided
Parking Spaces Required with Addition
Setbacks as per Code
A-
Variances/
VAMAIN cV.. - o c.1 1( 5163 Cb) ft i D "It
4" a o ■wt) V.E14M »4 MAT SARA
Date of Applicant Notification
Planning Board Action — MIS 15 r01 - )40 At,T10g RV-
Council Action
4,‘%lhv
'irector of Building and Zoning
' i2 F :
i4 c 2. ' ' x 3 "I\
Z,4x 3 ?/ I j . ; ll
3
APPLICATION FOR BUILDING PERMIT
Application is hereby upnde for the approval of the detailed statement or 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 specffi or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address .. 2 �
Disapproved .t.. Date
(Signed)
NOTE: A ch.rrge of S1.00 will be made for
lire I'I,rnnir.g Board.
A re rnspection fee of 31.00 will be charged
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Registered Architect and /or Engineer _...........
Name and address of licensed contrgctorli
Chairman
Member
\icmbcr ..
Council Approved Date
Date. .. ` _ . .. ._._..._ _
._..LP9. DA' 9.�i No
g3 U
PLANNING BOARD DATE
Street
Estimated Total cost of improvements $ t/9QOe D v Amount of Permit S. 17C
Zone cubage required plan Cubage
Distance to next nearest building.. Size of Building Lot
,19a.
Location and 1 gal description of lot to be built on: . � - L
Lot .9-- . j ............ Block 3 / Subdivision.. . rS . _.�! &
Street and Number where work is to be done...A _AP" - 6._.SS /_:
St a work to be one and pu ose o buil 'ng (by floors)... , �.j`... �. .Gl.. -
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Rooms vering
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 uiulersigncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent SupJplentent,
anti has complied Stith 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.
Remarks __._..__ (Signed) ��%L�l.S. <.._.�IT
STATE OF FLORIDA,
COUNTY OF DADE. SS.
Bcfore 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, r,nd that all facts
therein by him stated re true. �y ,/Q�
Permit No.__ ' _Y v1_) Date 3 7 1 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
uilding Inspector My Commission Expires
Member
Membcr
Member _.. - ... --
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection as faulty
\�
\
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statc„n•nc tit we plans and specifications herewith submitted (or 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 iuilding Division of Miami Shores Village shall be complied with, wheth 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 ...............
Registered Architect and /or Engineer ,,,,, ...•• et" •ttt.,,,. <,,...
Name and address of licensed contactor .. _ _. _ _._....�.. »...�__.
Location and legal description of lot to be built on: ( `
Lot J- -1-,3 Block e- Gym _. :
Subdivision .l./ _.?.!_ f . . _. .1.Z_ :3°7-6'd / 71 jW0 7
Street and Number where work is to be done _kD q _.. 9..(e • _ ..
State work to be done and purpose of building (by floors) _ _.. _...._._.
I hereby submit all
be sent to.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
— Cet,,� and for no other purpose.
AJ2 New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation &A id f Covering
Estimate S Total cost of improvements $ � Amount of Permit &.r1 ' VV
Zone cubage required _.._ Plan Cubage
Distance .to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
and specifications (r said buiJ4 d All notices with reference to the building and its construction may
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 Snp plenrent,
and has complied \sith 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 suboor tr , ors, on work to !q performed under this
pcnnit, as are licensed by Miami Shores Village.
Rem:uks
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 )4414
Permit No. : »g!s6 t Date ! )
Disapproved
(Signed)
Building Inspector
PLANNING BOARD DATE
Chairman Mcmbcr ....__._
Mcrr,ber Member —
r .. .. _....._..._.r...._....... Member
Council Approved Date Disapproved Date
NOTE: A charge of 51.00 will be made for making corrections or changes to this application after approval has been obtained from
the. I'I.rnnir.g Board.
A re- inspection fee of 51.00 will be charged when such re-inspection is made necessary by Improper notice for inspectirm or faulty
materials anti /or workmanship.
Date.. �� _......_ _........_. ».... ,19.
. ._
(Signed) "^
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires _...._..._ _
....to me well known,
I ! *
ot•:, ,
I, record( a in Plat
) , 1 '.■• 1 'r )I
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1 iti:REI-n• cua 1 : h.t t lit nbovt uskt,t l o I Survey" of the above
described property 1 s t rite and correct t t he best cal my knowledge
and be 1 if as recent 1 v , ,tir - veved tinder my direct 1 ion.
Donald t'. 1:amsa■ , Itegi t red Land (;ttrve 'or
1208, Stat.( of 1 or 1 +90 1..1. '49t h. Place,
i a 1 e a t ) , rl or i (la , thone:
Cust oiler : _Sand 1 or
November ..1, 1978
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