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576 NE 97 St (5)BUILDING INSPECTION DEPARTMENT APPLICATION F UILDING PERMIT Application is hereby wade 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...r..._..._ S _ _...._._ .._. — No 5 7 6 StreetA 5 7 - Building MU [MH S ORES VILLAGE Date. nspcctor Street and Number where work is to be done.... 9132... .._.. _... State »ork o be den and purpose of building (by floors) "��- . gT✓� aQ. Owner's Name and Address ..... 4 �C ....V. �..: Registered Architect and /or Engineer u.... ....:•:n ees..•- , «<rn.....re+Mv- n ::. Name and address of licensed contractor Location and legal description of lot to be built on: Lot f E,'.:. 3 Block ci 7 _ Subdivision.. 14 ' s G 7t c N and for no other purpose. Repairs No. of Stories New Building Remodeling Addition To be constructed of 1"/" Kind of foundation Roof Covering Estimated Total cost of improvements $.A — 2196 Amount of Permit $. 5 ' co 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 iabor 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 hire 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 s •ntractors, o work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 4 _ 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 e true. 1 1-( s -- Permit No.. ._ s CJC24=2 ` V Date 7 J.. Read, Sworn to and Subscribed before me. Disapproved (Signed) Chairman Member Member ...... - Council Approved Date NOTE: A ch.uge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of 31.00 will be charged materials and/or workmanship. 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Al K ■ ■ ■ ■ ■ ■■ ■ ■ ■N ■ ■ ■■■ ■ ■■■■ ■ ■■ ■■ ■ ■ ■ ■ ■II'01Oi....299 ►A�e ■0110 ∎UI 1111■■ ■ ■■■■■ ■■ 1111 MERNelME' ■ ■ ■ ■ ■ ■■ 1111■ 1111 I 1 V ISIT'17.2 / ►►�0�/1/1MO0 ■■■ ■■ ■ KOA+TtrA/�1►�O� , , 1111 A E 4 111 1111■■ ■■ 1 1111 ■■ ■ ■ ►OI►1/10AO9 ■■■ ■■■ ■i L i ■ ■ ► d O�0 o 1►1 M. 0 I■ �i.� - -■■■ 1 ■ .10 //1■►�O�'�1 . Ii■ c arm A ■■■■i■■■ ■ ,4orv►1i A ■ ■■ FR ■ NEM ■ ■■■■■■■■■■■■■■■■■ S Osrh ■■■■■■■■■■■■■ 47 4 WIWI VS ► �O e 0� ��01�00 U ■ ■ ■■■ A 1111■ LOOM AMMON 1 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. New Building \ Remodeling Addition_ To be constructed of Kind foundation Estimated Total cost of improvements $_ STATE OF FLORIDA, COUNTY OF DADE. ss. and who, being by me fir of the above described c therein by him st Permit No n0'% Date Disa p'. ed ___nDate (Sig /1 1,/'_( , 7 Buildin MIAM HORES VILLAGE BUILDIN c SPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Zone cubage required Distance to next nearest building upon fl��i C (%,�� nsp r PLANNING ) ) Date ? , 19 ,� Owner's Name and Address � � <.- % �•" i %� 9 _ No treet f gistered Architect and /or Engineer ame and address of licensed contractor ocation and legal description of lot toe - Wit on: f of Block Street and Number where work is to be done < State work to be done and purpose of but Ding (by floors)______ _(,_!. T r <,i , Subd r and for no other purpose. 9' Repairs No. of Stories Roof overing Amount of Permit $ /4__r . _Plan Cubage Size of Building Lot ARD DATE 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 subcontracto , to .: . ormed under this permit, as are licensed by Miami Shores Village. Remarks____ (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, says that he is e the foregoin plication, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Chairman J' 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.(* will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.