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1210 NE 97 St (12)MIAMI SHARES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING 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. Owner's Name and Address Jim Brown Rem.uks (Signed) ,, Building Inspector Date _ No 1210 street 97 St. » Registered Architect and /or Engineer ,,.•., Name and address of licensed contractor Biscayne Roofing Co. 5.1 E. 11 Ave. Hialeah, F1. Location and legal description of lot to be built on: Lot Block Subdivision _ ..__�.:__ Street and Number where work is to be done 1210 N.E. 97th Street State work to be done and purpose of building (by floors )........, -. —.. Addition. 12 _SQ. 1 -3 & 1 -90# wi th White, Flat Tile..5 Sq. 1/2" Insulation, 1 -30# felt, 2 -15# — felts -- Paint with Aluminum Paint. _.,_. Total 17 Squares New Building Remodeling , , Addition X Repairs No. of Stories 1 ., To be constructed of Kind of foundation Roof Covering Tile & Smooth Estimated Total cost of improvements $ 3 Amount of Permit S. 15.00 Surface T Zone cubage required .Plan Cubage r , Distance to next nearest building.. -, Size of Building Lot ,..._ .,,. Maximum live Toad 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 .. Biscayne Roofing Co. 5180 E. 11 Ave. Hialeah, F1. 33013 The un.lcr.igncd applicant fur this building permit does hereby certify that he understands and accepts his obligations as an employer of labor tinder thc Florida Workmen's Compensation Act, being Section 5966, Compiled G eneral Laws of Florida, 1'er nant•nt Supplement, and has complied N%itli 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 thc work such public notice or notices as are required by the Act. The undersigned Agrees to employ only such ntractors, on woe / to be rformed under this permit, as are licensed by Miami Shores Village. i Notary Public, State of Florida January 24th ,p 80 and for no other purpose. 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, and that all facts therein by him stated are true. G Permit No Q Date t - D- Read, Sworn to and Subscribed before me. Disapproved ;,;.,��...( Date.._.., (Signed) My Commission Expires., PLANNING BOARD DATE Chair :man Member Member Member , -, Member .. .. , .. Member ,_ _ Council Approved „ Date Disapproved Date NOTE: A charge of $1.00 will he made for making corrections or changes to this application after approval has been obtained from the I I.innir,g ito.ird. A re,in,pection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 / 6 / 3 19_9__ No. I ( NEC' c:r7 t . — Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor 2 — 91 / •-- Location legal descrri Lion f lot to i built on: Lottd . 19 - ; —t , BA P eJo Street and Number where work is to be done State work to be done and purpose of building (by floors). state exterior colors (submit samples) u Subdivision CoLoe3 Pc4,16 E� New Building Remodeling To be constructed of Kind of foundation Roof Covering Estimated lbtal cost of improvements s L) ©. 0 0 .,4 . i i 1ZIO c`St Addition Repairs Amount of Permit S The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 der this permit: and - ill 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 gees to employ only - ch su3contractors. on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) Building Inspector My Commission Expires 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to Permit No. ` 2 Date /0/025 fd % Read, Sworn to and Subscribed before Disapproved Date Notary Public. State of Florida (Signed) /1 c ,(/e / No of Stories and for no other purpose. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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, PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.