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576 NE 97 St (10)APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 MR & MRS WALKER Registered Architect and /or Engineer Name and address of licensed contractor Pan Am Roofing Co.Inc. 13 6 0 N.W. 2 9th St .Miami , F L 3 314 2 Location and legal description of lot to be built on: Lot / t f i Block 9 9 Street and Number where work is to be done 6 N.E. • 7th Street Gravel roofing at flat sec.& Tile Roofing. - ( Remove present State work to be done and purpose of building by floors), state exterior colors (submit samples) rood down to wood sheathing. Replace all rotted wood.Tin cap one 43 #saturated felt. Apply 1/90 mineral surfaced. Install tiles in a bed of mortar n other purpose. New Building Remodeling To be constructed of Kind of foundation Q Roof Covering Estimated Total cost of improvements $ 10 , 950 . 0 0 Amount of Permit S �v- 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to Pan Am Roofing Co.Inc. 1360 N.W. 29th St. Miami, Florida 33142 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 Ao employ only suc subcontractors, on wor o : .erformed 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 appeared 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. ..- Date - �7'� Read, Sworn to and Subscribed before me. Permit No. Disapproved (Signed) Council Approved Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Subdivision 7 n iC) • / 7 /IMP 1 l y I 3c - t' /1 / 7 cT p Addition Date Date March 23 19 89 No. 57 6 N. E Street 97 Repairs No. of Stories Ruben Bernal Roofing o or) Per Pan Am Roofin co.Inc. /7 3a 7 Notary Public. State of Florida to me well known. My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials andior workmanship. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 23 Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot `42 Block_____ Subdivision `C Street Address Approved use by occupancy Remarks g6 This Certificate of Occupancy is issued to the above named building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. t!� TM" BUIDIVISION PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 72 ( 1940 / .G�ssf - _ f , r 1941 r //f t ggg Q iC� 1942 Cdr ® /- � �� 7Z 2 I- 1943 /0 - 0 ® i - V3 q Fr''e1l ✓ 1944 /Q. 64-0 3-7-44/ ‘/If 22Y / 66 / A ' / ,,__ c . 1945 /6 /0 . e - O / `■_ ,2_/.3- 4 J - .1. 'A s Y 7.21 1 .6 i,i /0(6 g 14 . I► 1946 !l • � � � 1947 / 2 °.° a 3 ( C O `( Y 1948 ` � f Z - 31 -/ `� /a -1/- O/7 (c / 1949 ,• a /� 4 / 7 h�- j/ 5--' i . / ?-36- g, /- L- TO /x®96 /3 94... /. i. If 1950 LOCATION 576 N. : . 97th street /4 ° GARBAGE TAX RECORD 576 N. E. 97th St. by year G. Luce annual tax Z L_ period used amount paid /�4/ / ?/ass /0 date paid receipt i s Street. Address 77 YEAR HUILT LEGAL DESCRIPTION -E- c 9 " ' " c" ) ^ 2 !/ 3 7ionn Cubical Contents Electricity Septic Tank Solar Heater Sprinkler Gas 'dater Sewer Fireplace Hot Air Gas Remarks Bungalow Two-Story Remarks Roofing ';food Shingle Compo. Built -Up Built " Gravel Slate Tile Metal Roll -Slate Asbestos Remarks: Bungalow Two-Story Remarks: Remarks Cori truction. Frame. Concrete CBS Roof Flat Hip Gable Concrete HEATING & =ELATING Hot Water E' e ;tric Steam A :r :<ondi- t.�rr,_ng Flood Steep Ext=_for Fin Wood Stone Metal Stucco • No. Bathrooms (1) (2) (3) Bedrooms No. Fixtures_ Open Kitchen Laundry Tubs Screened Living Rm. Garage, Attached (1 -Car) (2 -Gar) Enclosed Dining Rm. Garage, Accessory(1 -Car) (2 -Car) Other Remarks ACCESSORY BUILDINGS Bathrooms (1) (2) No. Fixtures Patio Terrace Bar. -B -Q -Pit Property Wall, CBS _Driveway Property 'Wall, Other Parkway ADDITIONS - , ETC. Date of Permit Date Completed Estimated Value Nature of Work Date of Permit Date Completed Estimated Value Nature of Vicr k CLASSIFICATION ASSESSMENT D^c:s Wcod Metal Wood Tile Terrazzo Cement Kitchen Bedroom (No:.) Floors Porches (No.) Inspected by Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. O er s Name and Address ...VV t 4- 1. n M k ...._ Street and Number where work is to be done C i 4 ? 9. S work to be done and purpose of building (by floors) ...._..._.. _._..._._...._...__._.......... _. No X76 ...._2222. Street.....A t Registered Architect and /or Engineer 2.. .1 Name and address of licensed contractor 16 1> l `. il .. Or r•/ ` 1 fo Location and legal description of lot to be built on: Lot Block Subdivision and for no other purpose. New Building Remodeling Addition Repairs No. of Stories Q Nit To be constructed of Kind of foundation Roof Covering Ti t -ce Estimated Total cost of improvements $ P-04) ' - Amount of Permit $. V2.1151 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 performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) C C 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 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.._.d`rt) h t” Date ,J 11 Read, Sworn to and Subscribed before me. Disapproved ` L . 1...N ....... Date.._ (Signed) \,`,' 41 Notary Public, State of Florida Building Inspector My Commission Expires _ PLANNING BOARD ._.._......DATE Chairinan Member Member Member Member 2222.... _.- -- 2222__..._. —. - - - Member - -• - - Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning hoard. A re fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection at faulty materials and/or workmanship. APPLICATION Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other sturcture herein described. This application is made in com- pliance and conformation with the Building Ordinance of the Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all Ordinances of Miami Shores Village, and all rules and regulations of the building Department of Miami Shores Vi'' or not. OWNER ARCHITEC' i> ; q LOT / 2 �� �`Bi% NEW ADDITION REPAIRS COST (excluding Archtitect �y Building to be used for/ SUBDIVISION O/G'c2n-/- BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA ��T d CONTRACTOR ge, shall be complied with, whether specified NUMBER OF STORIES ROOF I hereby submit all the plans and specifications fpr'said building. Signed i"'° ^,7 STATE OF FLORIDA) COUNTY OF DADE ) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgment, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are true. Road, Sworn and Subscribed before me, Notary Public(Signed) My Commission expires Cubic Feet Cubic feet required in this Block Chairman Membe Member Secretary Building Inspector Permit No. / Issued to . /, DATE Electrical Permit No. rlu°nbing Permit No. (/"6/ ET# and no other use. PLANNING BOARD 07=/ �> &V / y3;7 Date fee, landscaping & garage )$ / /20_44. o ° 2 a , ) h / MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. Date May 4 , 1918 Owner's Name and Address ICY A___ _]YL.- __ G_aLuoe No 42 Street NW 4 St .: Mi p Registered Architect and /or Engineer Name and address of licensed contractor Gaiffen____Ron_f_ing BQX____7.2.1_, Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 5.76 n t' : = 97 St. ,M i ami Shores _ — _ - - -- State work to be done and purpose of building (by - floors) Ra ®riofing – — _ and for no other New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation_ Roof Covering iShingi e_ o Estimated Total cost of improvements $ 1494.00 Amount of Permit $eS' 1 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 constructis be sent to Giff_ en_ __Roofing CQ_.__,__P._9_,Box_ Gables The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ay. employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent . upplement and has complied with the provisions thereof, and will require similar compliance from all contrac s or sub- • • . actors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe.. o n th• :' e of th- work such •u. is notice or notices as are required by the Act. The undersigned agrees to employ only such subco a s w.rk .e performe . under thi; permit, as are licensed by Miami Shores Village. Remarks ( Signed) ----- – -------- ------ ----- . C. R President 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 S._ L. - - -- Raymond y me first duly sworn, upon oath deposes and says that he is the ribed construction, that he has carefully read the foregoing, application, and that he did sign the same, and that all fact ;d are true. and who, being of the above des therein by him St Permit No Disapprove (Signed) Chairman Member Member Date p /t _ ctor Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Gabl es Nit to me well known Member Member Member Council Approved ate Disapproved Da+ NOTE: A charge of $1.00 will be made for making /corrections or changes to this application after approval has been obtained the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspectior materials and /or workmanship. BUILDING INSPECTION DEPARTMENT 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 Name and address of licensed contractor G, Luce Permit No / /j7d ° ' r D ate `� °��� S0 Disapproved Date (Signed) MIAMI SHORES VILLAGE Date Mar 28 N 576 Read, Sworn to and Subscribed before me. Notary Public, State of Florida IF INDUSTRI •, INC. R. K. Thompson, Tres 1 9 51 Street NE 97th St. Registered Architect and /or Engineer Gift n Ixiduetries, Inc. 232 Aragon Ave.,Coral Gables Location and legal description of lot to be built on: Lot__ 1, 2 & 5 Block 99 Subdivision Miami Shores Sec. #4 Street and Number where work is to be done 576 N .E.•._ 97th_St.__ Miami Shores State work to be done and purpose of building (by floors)______ Qne___St_Qr3L and for no other purpose. R6 °!AO f'ing t�. New Building Addition Repairs t No. of Stories 1 To be constructed of Kind of foundation Roof Covering Felts & Gravel Estimated Total cost of improvements $ l5l_a_QQ Amount of Permit $ 5.00 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 Glffen.__'C» tdu_atri_as ___P._G.___Dr_a�_ar 6331_____Cora1___Gables 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 o 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. 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 inspection or faulty >'"` materials and /or workmanship. TILDING - ECTRICAL - UMBING DOPING caner of 'ilding 1 n n ontractor Builder egal Lot )escription. address of wilding , `i { " A, e~ CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE r PERMIT N? 11555 Work to be performed under this Permit rchitect BL Subdi- vision Value of Project $ Contractor's 195 License No Amt. of ` Permit $ . This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is ;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: . tit [ t fib e BY :• } • "l " INSPECTOR J In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a" ordinances and regulations -rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ,OHT tilding .. >7 STORIES PERMIT TYPE OF CONSTRUCTION oFFro mi Shores Village, Florida, / '6. N° 1� `GIs 1-a PROPOSED LOCATION PART OF LOT LOT DESCRIPTION OF BUILDING BUILDING '1'O BE USED FOR RooF J1rs aa■ To SUBDIVXSION COST of BoIr.orNo blew PER111jT FEE it is hereby issued to above described, as per application, Flans and. Specifications heretofor in this office. Thi ermit is granted upon the ex- tion that all facts stated in the application are true and that the construction complies strictly with the plans and specifications and in accordance and compliance with the building laws of the State of Florida and withAhe building ordinances and zoning laws t Shores Village, and rules and regulations of the building department of Miami Shores iliage. This permit may be revoked at any on the violation of any provisions of said laws, ordinances or rules and regyla son change in the plans a specifications ,on by the building inspector. BUILDING INSPECTOR Lion of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the '0ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the , the building ordinances and zoning laws of Miami Shores Village and all rules and - regulations of the building department 'age. 4 . `• apt ` , , 19 THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS Village THIS NCENSE EXPIRES Inconsideration of the sum of Date Issued T Paid to MI i Sh • res Dade County, State of Florida, License ollars ($ 7 is hereby licensed engage in or operate the business of MIAMI SHORES VILLAGE, FLORIDA By C.-J7 IS LICENSE NOT TRANSFERABLE WITHOUT THE APPROVAL OF THE VILLAGE MANAGER. r ABBOT Chairman Member Member Council Approved AM [1 SHORES VOLLASE • .D N G IIN SP ECTI 0 N D EPA RTM ENT Appuri TO N F G2 8 UDR—ENG FE MIT 0 0 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. Date M f 't- q , 196.2. Owner's Name and Address.. / 1 4A1 -4e(11 I • fr;k No Street Registered Architect and/or Engineer. Name and address of licensed contractor.. „Z, j? L 1 a s 1 (I'd 4 5' ''-) ,,2 ") 44. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ri "i i.,, Pi tZ. State work to be done and purpose of building (by floors ) 7.c( e _ 1 _,) 4 i ' t /5' 2 Z Addition New Building Remodeling To be constructed of Kind of foundation Roof Covering Nd Estimated Total cost of improvements $..20c: e.„ --4'4 Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building 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 S 5966, Compiled G 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._ 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 117k(cD Date Read, Sworn to and Subscribed before me. Date Repairs .11 NING BOARD_ DATE Member Member Member and for no other purpose. No. of Stories . Size of Building Lot Disapproved (Signed) Buil ing Inspecto J My Commission Expires Notary Public, State of Florida ......... (Signed) )44 ,- -ra-J Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has h,'rn obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper not. .c f or inst :ion or faulty materials and/or workmanship. MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement al 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 Z%44 2L . ")../1; ......5 Alt(.f .._.. Street-- Registered Architect and /or Engineer K ,�� ,,,• „ „,..,9,•,•,,. Nance and address of licensed contactor 31 "Jl y` .z� c-' I,71- _. ° "� . g f ¢ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 3 7 A ./',' 22 State work to be done and purpose of buildin .,/f.4- 6 / .... 57Z , ‘Rcer 11.4. STATE OF FLORIDA, COUNTY OF DADE. ss' A Ncw Building To be constructed of Estimated Total cost of improvements $ BUILDING INSPECTION DEPARTMENT (by (Ws) �t�tk. /.. ;Vfei.e4.4.0 q/efo fie ...✓ Remodeling./?'. Addition Repairs No. of Stories Roof Covering Amount of Permit S. 7.4 Building Inspector Kind of foundation My Commiuion Expires 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 J '-Pt 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 ins, ion on the site of• e wor such public notice or notices as are required by the Act. The undersigned agrees to employ only such su • • •ntra < s, on work t be formed under this permit, as are licensed by Miami Shores Village. b Remarks... __._.__ (Signed 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 are true.. Permit Date..... l i.. / Read, Sworn to and Subscribed before me. Disapproved ... _ Date Notary Public, State of Florida (Signed) to me well known, 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 hero obtained from the PLrnnir.g Board. A rc-in.pection fce of SIAM will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. BUILDING INSPECTION DEPARTMENT APFLOCATOON FOR :UOO_®0N PIGRMOT 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 \fil,3 C( fts Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done S 7 et e_ M i q State work to be done and purpose of building (by floors) l�& o G ( _.t ( .eckio, ,�,.t - 1 a`3 q C —r ( Estimated Total cost of improvements $ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, peared M AMI SHORES VOLLAGE (Signed)._ Date OA) 22 No 7 Street_/__lf ._. PAC �t .g, ,or New Building Remodeling Addition To be constructed of Kind of foundation 111> 1.1' A 7 q0 SJ 9 and for no other purpose. /a oL s ,_... , Repairs No. of Stories "5-/2 r 1 le ring.l 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, Pernanent 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_.._ a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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.___._- J f 60 Date 11 Read, Sworn to and Subscribed before me. Disapproved f /� Date (Signed) ! N ,i- /. ' / _- ) Buildi ( Inspector ) My Commission Expires Notary Public, State of Florida 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 inspection or faulty materials and /or workmanship.