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1249 NE 97 St (9)Alpo MIAMI SHORES VILLAGE 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. -, 1 Date ✓ , 19 Owner's Name and Address Registered Architect and /or Engineer Z r_1__L ' r Name and address of licensed contractor ' ,__.t___.�_! • o, Street and Number where work is to be done ; t BUILDING INSPECTION DEPARTMENT Location and legal deyhription of lot to be built on: Lot_t_ __� i r'�?t__ __ Block %. Subdivision ,/ No Street State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of i Kind of foundation_____ ___ Roof Covering Q _ _71 p 'a Estimated Total cost of improvements $___":2._2 " ___Amount of Permit $ � Zone cubage required �'_� plan Cubage 2. 1 __51.0_ 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 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 1?y 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 4uch ub1ic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be per rme under this permit, as are licensed by Miami Shores Village. i Remarks (Signed) 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 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 v Date Disapproved Date (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman 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 i:spection or faulty materials and /or workmanship. 1 4 , Owner's Name and Address \ a r i Registered Architect and /or Engineer Name and address of licensed contractor Estimated Total cost of improvements $ `� __ Maximum live load to be borne by each floc Disapproved Date ( Signed) MIAMI BUILDING INSPECTION G_ APPLICATION FOR BUILDING T.RMIT 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. Location and legal descr tion of lot to be built bn: 1 Lot � • < <-- _ } -.:� Block Subdivision 'i � l t j G= Street and Number where wed( is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stones._ 1 To be constructed of. ____.- '— :., Kind of foundation + _ _. /' Roof Covering 1 ___i �7 Amount of Permit $ 2,, c c e: . . a required G _ �___�__x .' :__�i__ Zone tuba g q _Plan Cubage _Size of Building Lot 7s Distance to next nearest building --- °.-L 4^ • Date , 19 Street 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 Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved __ Date Disapproved 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 posted for inspection on the site pf the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work )t be performed under this permit, as are licensed by Miami Shores Village. , Remarks (Signed) 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 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. 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.