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302 NE 97 St (10)Application is hereby made for the approyal 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 spec or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address OIIW e° /WM Registered Architect and /or Engineer Name and address of licensed contractor_ Lovth i e pti of lot to b ilt on: Block / MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Street and Number where work is to be done.:a APPLICATION FOR BUILDING PERMIT /45 dand ir. State work to be done and purpose of building (by floors) Date__ No � -1 ddL PLANNING BOARD__ __ . DATE Chairman Member Member Member Member . Member -- Council Approved _Date Disapproved Street /_f,' 1 �! 1 Af? Ski and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind undation Roof Covering Estimated Total cost of improvements $___ Amount of Permit $ 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 understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La :' Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contracto s or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for in .e tion o th s'te of the work uch public notice or notices as are required by the Act. The undersigned agrees to employ only such su. w . -:rs o . rk to be p ormed under this permit, as are licensed by Miami Shores Village. Remarks__ ........ _- (Signed) 1 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._- ____L� ____!._L -Z __- ___ .... Date____. L. ` __ � ` //� L!___ Read, Sworn to and Subscribed before me. Disapproved -- - _ . . . . - Date - - -- - - - - -G - --• - - -- - + - / y " / - Notary Public, of Florida �G`„ 1. S (Signed) ' = , r, ^: - -• - Building Inspector My Commission Expires_ 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. r r It 7 \ ; r A • 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. r c i, / Date - , -/, , , 19 E Owner's Name and Address No Street__._ "L. Registered Architect and /or Engineer Name and address of licensed contractor ___ j: r Location and legal description of lot to be built on: Lot �� _ , - ` l ' , Block y " Subdivision -___ -� _ / /Y , Street and Number where work 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 Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ 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 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 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). . STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - Chairman Member Member . Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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._______ . 5_ D ate , � � ' � ___ �� ' Read, Sworn to and Subscribed before me. Disapproved __ _ _.. Date __ -- (4 / Notary Public, State of Florida ( Signed) ._ -. Building Inspector 7" My Commission Expires PLANNING BOARD__ __ . DATE Member Member Member -- - -- - _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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. /i/E g7ST PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ` Date 2° / ? 7 ' Job Address 3 4) 57 £ Tax Folio Legal option 4+ v2gt ik... of t + I i Historically Designated: Yes No Owner/Lessee / Tenant Jot, J ci v. e� �, � �/' Master Permit # I✓0 8 Owner's Address E CA') 7 Square Ft. My Commission Expires: FEES: PERMIT P h o n e 7 "'5f3 9 2- Contracting Co. ;E ' a /iVE Address 7? 'al td l 7 e " Qualifier V SS# Phone State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENj SIGN WORK DESCRIPTION tido. A Signature of owner and/or Condo President Date RADON C.C.F. Address De , ;6k u ar -evA a. o (5' red) Q YJ_ ®A_ S- / a.e C) 6EO J Estimated Cost (value) NOTARY WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. -'''- h � -3 Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My C �� RY PU® OFFIOILIL M®v v SEAL e∎ CAN -URA Izl IMOoyIEL u. COMMISSION NIIMMI] o ©C4012G1 ©ONMISSCON , GNP. o F\ /W til n ont) Date APPROVED: � ) ) a Electrical Zoning Building , V ' Mechanical Plumbing Engineering LX4 P.T. WOOD Lacs TtPyCA1. OF 3 1X6 P.T. WOOD PICXETS (DOG EARED) 4X4 P.T. WOOD POST 07-0° O Q.C. MAX. SLOPE TO GRADE 3000 P51 CONC FOOTING Fence Detail 3/4" • \ '0 c P &0/7-0 p C, Ght/,!N O 21.7 oo X ) 10.01 el" 20 hspHq if P1'�Vlnq 20 tPareicincat.? ./ .. 2+00••..v..w...•1 01144011 •mn..®.•a..we•m...m•. IIMS•1 ., a+.4m+ILmw.. 13■•••1•=0! 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