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55 NE 97 St (5)MilQAMIQ SHORES VQLLAGE BUILDIN INSPECTION DEPARTMEN APPLDCAT DN FOR izUILDONG PERMOT Application is hereby made for the approval of the det„iled statenien. of the plans and specifica,ions herewith submitted for the build- ing or o h, -ructure her i described This i-t licatic is made in compliance and con o'm ty w•th the Building Ordinance of Mia ii Shores Villane, or da, and all pro isions of the Laws c f the State of l h. rid. all o d nances ,,f Mi ni Shores Village- and all tiles and regu a ion. of the Building Div . i of •lam Sho, iilage 1- '1 ,e , o. ipl.ed with, whether herein specified or not. A copy of approved plans and specificati •n must be ket at building durin, progress of tl.e wcrk. Owner' Name and Address J. MG ___Phillips No. 55 Street_ - N. . r'o 97 St Registered Architect and /or Engineer. - Name nd address of licensed contractor Gi f f en Industries _ Inc c PO Box 6331, - Coral Gables. Location and legal description of lot to be built on: Lot Block... -__ Subdivision Street and Number where work is to be done 55 N„ E. 97th _Sto State work to be done and purpose of building (by floors) Re-Roofing House & Garage - and for no other purpose. New Building. _ - Remodeling_ ___ _ _ Addition__ _ ___ .__ __. Repairs - X • No. of Stories One _ _ Re To be constructed of _ _ Kind of foundation .._ Roof Cov firing. Estimated " ital cost of improvements $_ 961.o0O _ Amount c`, Permit $. 5 _ Zone ^ubage required. __. - -- _Plan Cubage_ -- \....., - -, Distance to next nearest building__ _ - _ _Size of Building Lot Maximum live Load to be borne by each floor - . ____ ___ __. hereby submit all the plans and speciiic.ations for said building. All notices with reference to the building and its construction may be sent to ____Giffen-- Indus_tries- In-e_ -P0 Box_ 6331 _Coral_ Gables Flao__ The unde signed appli ant for th's building permit does hereby certify t'iat he understands and accepts his .•bligations as an employer of 1 bur under he Florida Workmen's Compensation Act being S , tion 5966 Cot p led Gen al Laws of Florida P r anon S•ipplt rent. and h s compl ed w'th he prov• cons thereof, and will require s milar comp lance from all contractors or sub - contractors cmplo .ed by him in the wo k to be p rf med under th s peen it and ill post or cause to be posted for inspection on the site of the work su :h public note e or •otices as are requir d by the Act. The u. d. r ign -d agrees to employ only sucl�1ts. cters.,,.cxte :i the 1'vr G,, d der this permit as are licensed by M am. Shores \ it ge. 1 IVYJlJ,�1 iUs+ p o Remarks - (Sig -ied) - - Disapproved Date (Signed) PLANNING BOARD DATE Chairman Member . . Member - --- - - ---- - --- -- - Member Member _ _ __. Member Council Approved Date Disapproved _ _ .. Date - - - - -- - 6114/5 .. ,19 J W. Fleming Treas Notary Public State of Florida Building Inspector My Commission Expires_ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adni.nister oaths ..nd take acknowledgments, personally pp- 'reared to me well known, and who, being by me first d. ly wworn, upon oath depo-es and says that he is the ._ _ of th abov de ,c. ibed • istruction t, • h has carei ally read the foregoing application, and that he did sign the sane, and that all facts therein by him stated are tr ie. Permit No f. _ r._ 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 'ft -r approval h is been obtained from the Plain- ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is n. .e necessary by improper notice fir inspe-t'ar or fa. ity materials and /or workmanship. A Owner's Name and Address .... J . R. S tob s II Street and Number where wort: is to be done MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PD=.DCATDON FOR UDL ®DN9G fPIEPMlDT Dagi gge Disapproved ! n Date (Signed) W Building Inspector Application is hereby made for the approval of the detailed state ■Went us the plans and specifications herewith submitted for the build • ine 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 oil rules and regulations of the iuilding Divisinn of Miami Shores Village shall be complied with, whether herein specified or not. A copy of opproved plans and specifications must be kept at building during progress of the work. 55 N.E. 97th .St /gel Dnto..._.k�R.Xb�.. .__ ...__ _..._._._..._.... , 19..811 _ _ No.. 5..5 . Streect..N –E 9 Zth...S t....._. Registered Architect and /or f :ngineer =•.• ,*_ Name and address of licensed contractor Owner Builder Location and legal description of lot to be built on: Lot Block Subdivision State work to be done and purpose of building (by floors)... Rii3.Ce._.ea Ley,..,, za_]. k;... add ...crincmeta..4ta.tio._aL -.r- ear- -_— of house.; replace existing rear st: Pp;,_ xgmQy e._.tw Q.. .windQw.s. ..`a.1.t.h .one...pass-.thru_ window and one door and for no other purpose. Ncw Building t temodeling xx Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimate Total cost of improvements $ 500.00 Amount of Permit $. Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. 55 N.E. 97th Street The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Penn:ene•nt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins ection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such au• •r,tra.:o s ---r�. K perf ormed under this permit, as are licensed by Miami Shores Village. '�`��� Remarks (Signed) \ \. t��sttt�C��� ' . STATE OF FLORIDA, COUNTY OF DADE. d ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared J. R. Stobs II _.. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. Owner of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated . -ems e. Perrnit No.._._. Read, S ;r' ton Subscri M ore me. otary Public, State of Florida My Commission Eupire uNO1Afty P1181 IC SIAII •tF FLOtIDA AT LA W.1 'yV 11 tSviromi HI •- PLANNING BOARD DAT) rvau t��iflAj MSS uxDZ1fl$Y>� Citair;nrn Member \Icrr=bcr Afembcr 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 harp obtained from Ilse Pl.innir.,. 11u.ird. A re-inspection ice of $1.00 will be charged when ouch re- inspection is mode necessary by improper notice for inspection of Nulty materials anti /or workinanship. 0 AbDrclok To R ®fie ®P RJR. A MSC. 3 e R®zczu Srramz 0 Ne_ PP` - co _� RrAK 'p N E eve, 4 SreP 4" CiPmg. &=.z ' bm ©a d S b is 111/lLll L:D n �� n r A1 . .,,I� D