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1229 NE 97 St (5)APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed stn in or other structure herein described. This application is made Shores \1Ilage, Florida, and all provisions of the Laws of the Stat rcgulatief'• of the Building Divisinn of Miami Shores Village shall plan an .;pecifications must be kept at building during progress of MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Owners Name and Address 2 /fS T 4640/e – Registered Architect and /or Engineer..... !f eli ‘Mi Name and address of licensed contactor Lii.t? il la Location and legal description of lot to be built on: STATE OF FLORIDA, COUNTY OF DADE. ss' and who, being by me first duly sworn, upon oath deposes and says that he of the above described construction, that he has carefully read the foregoing therein by him stated are true.. Permit No. 41.1 Date 4I4 Disapproved s .... _ �� . Q........ Date. (Signed) Remarks (Signed Building Inspector •nlenr or Inc plans and specifications herewith submitted for the build • w... compliance and conformity with the Building Ordinance of Miami f i k ida, all ordinances of Miami Shores Village and all rules and complied with, whether herein specified or not. A copy of approved the work. ����t"' 9. ..- No. – . Street_L Rea ff••• ?ft •:,,,fff,:ff,•! srafgrElitY Lot /3 Block 3 Subdivisionla.41.BL ..� ..�G! .../.� .c Q . 9 . ,/ Street and Number where work is to be done .l.c�r. ...... ._... 7 !' State work to be done and purpose of building (by floors) A 5..14.1.411.4 ✓../.4/6 ...� �m.. ., . per - __....:...... 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 $..L.� Amount of Permit ( io Zone cubage required .Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he undcrs . •. and accepts his o. 'gallons In employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil Ce eral Laws of Flori a, Permit rat • implement, and has complied .eith the provisions thereof, and will require similar compliance fro' • all '.ntractors or sub ntractor emp oycd by him in the work to be performed under this permit; and will post or cause to be posted f • in .action on the site f the wor sue public notice or notices as arc required by the Act. The undersigned agrees to employ only such - . •ntractors, o•, wo to be . . ed under this permit, as are licensed by Miami Shores Village. f. pc 1 y / Before giR, the undersigned authority a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared .._. �! R /V t/ 69 /kJ (U 0...1 6 12— to me well known, is the. application, and that he did sign the same, and that all facts Sworn to and Subscribed befo Notary Public, State`.xi$iFlbiid .ic 'Yu ' MY COlrISSION EXP. OCT My Commission Expires PLANNING BOARD DATE Chairman Member Nicrraer 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 heen obtained from the Pla pir.g Board. A re- impaction 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. ,e) 0 ft...° if * Quality Pools * Spas & Decking * Maintenance * Repairs * Chemicals * Accessories * Patio Furniture * Solar Heating Everything For the Pool & Patio BRIAN VAN BOWER President 1708 - 79th St. Causeway (305) 868 - 4633 North Bay Village. FL 33141 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 :d4 — A 5 &,.F= • $1 e Registered Architect and /or Engineer Name and address of licensed contractor tJi." .4' . L. - Location and legal description of lot to be built on: Lot \ S Block 3 Subdivision E 43, 4 o Street and Number where work is to be done 0- - G ( - StaM work to be done and purpose of b (by floors) STATE OF FLORIDA, COUNTY OF DADE. Permit No Disapproved (Signed) ss. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PLANNING BOARD Chairman Member Member ..... Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. and for no other purpose. New Building Remodeling Addition " Repairs No. of Stories To be constructed of Kind of foundation Roof Covering (j CU Estimated Total cost of improvements $ .7 v o Amount of Permit $ Gr 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 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. Remarks ( Signed). ���� - f I 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 ar true. ;/ Date i / - S7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Date N Q � .- r_z.4.1.. J , 19 No._. /_. 02 - -9-_ Street__.a! / 7 r 4 ? S fa R- `'Z ` ‘ Date Disapproved making corrections or changes to this application after approval 1 6%— ) to me well known, Member Member Member Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty i;,;, - -Y Y - 6 A / -0 0 x / - ° 74 ( r TO a---a