Loading...
1271 NE 97 St (8)• Owner's Name and Address .... STATE OF FLORIDA, 1 COUNTY OF DADE. d ss' Disapproved (Signed) .... MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby sonde for the approval of the detailed statement or toe plans and specifications herewith submitted for the build inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miarni 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 Divisinn 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. s.JJ� Registered Architect and /or Engineer /, Name and address of licensed contractor a.1.QQ._.I\J: ..2. ..... Location cgal description of lot to be byjlt on: Lot 1 Block ` Subdivisions '�. Street and Number when) work is to be done State work to be done and purpose of building (by floors)P MC:WE C LiV Ex i 5.7..._ i7 v> :.. -.. eie.0 ..��?? CO ST= / , Date /Vb0.°% sity/ff6 Ncw Building Remodeling To be constructed of Kind of foundation Roof Coring But l ing Insp for Cirair:nan Member Member .. Council Approved Addition Amount 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.._.._ra^ Q. �e!.�i Date Rea My PLANNING BOARD Tht. Street.1 ,N1/%97 yi S / -17461 of Permit a - .a Lf c3.243'° 6 o0 Gy9, 6A0E- ✓TS Cc % F /5914/ pW �q -rtJG E- .__ and for no other purpose. Repairs No. of Stories Estimate Total cost of improvements $ Zone cubage required plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 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 of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo; and has complied with the provisions thereof, and will require similar compliance from all contractors or su in the work to be performed under this permit; and will post or cause to be posted for inspection on the si or notices as are required by the Act. The undersigned agrees to employ only such su ;: ontractors, on pcnnit, as are licensed by Miami Shores Village Remarks (Sign f to ligations as an employer a, Perrnant•nt Supplement, ntractors employed by him the work such public notice be performed under this Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally ap- peared S le.1vig p... GcJ rti -tr-LF • _. to me well known, is the. application, and that he did sign the same, and that all facts ors to and Subscribed before me. Notary Public, State of Florida Commission E xpirNOTARY PUBLIC STATE OF FLORID'' �Y'EE9fotietis.SdON.4ya ES..1111Y Luca _. DA ONDED THRU G ENERAI. INSURANCE UMD Member a Member Member — .._.__.. Date Disapproved Date NOTE: A charge of $1.00 will be made for staking corrections or changes to this application after approval has been obtained from the P1,1nnir'.g Board. A re- in' fee of $1.10 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or worktnanship. I 1005° N.z . Z.t.;b AMY =tob IJo t esar iJiL€$1146 (NSPr c'I; ION i EP AG'd'n if leis' APPLICATION FOR OWL -1 'O PCM ° Ai!t'liOliMI is hc►clty !POP for t ap)irPVi1 of the d�laflaFi €ialot'Wnt p( !ha p1e�ti find spacffiPationa hprewfth submitted 1t this build- ing pr other structure herein tlescrjbr 4; This application is made ij cgntpliansle and conformity with the Building rdinance of Miami Shores Village, l lnrtri,i, and ail i n of the' Laws of the State of Flwida, 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. s.. Owner's Name and Address ' IA , DAVIT R.L . , • Registered Architect and /or Engineer np II ll ,:,.. /M t ,!•Ot IHNtt NN t V!• Name and address of licensed contrlctor tht_- .y0 6 kf_(iC 6 s >!/L 5 f S 0 1\"1), ttJ , 7/1 V Location an 1 iGQ" egal description of lot to be built w :� � �� .. 43.0. e' ©Y Lot I. Block Subdivision. �._. _ .. 1. Street and Number where work is to be done Disapproved (Signed) Budding Inspector Zone cubage required W State work to be done and purpose of building (by flocs). 5 L( .T! =b la f1' A � — �a l0A1.._..._. »4A-r .. ...l �? ._. �� 4 } =� ... _ ... —• -- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation .. p Covering Estimated Total cost of improvements $ — f, 00 . Oo Amount of Permit $.... ....D. &0 G70 .Plan Cubage Distance to next nearest building Size of Building Lot Mfaximum live load to be borne by each floor 1 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 My Commission Expires .. • 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 5 Compiled General Laws of Florida, Permanent Siip )lenient, 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on wor to be performed under this permit, as are licensed by Miami Shores Village. Remarks —.» (Signed.)? STATE OF FLORIDA, I ss. ° CAGD / ® p COUNTY OF DADE. 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 caret lly read the foregoing application, and that he did sign the same, and that all facts therein by him sited �iry..true. �` , Permit No._ — � — ( Date (I Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chairman Member Mcri bcr Mcmbcr St ember »....._... .......... »....._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making or changes to this application after approval has been obtained from the Nanning Board. A re- impeetion fee of S1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workinanship.