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638 NE 97 St (2)Name and address of licensed contractor Permit No. Disapproved (Signed) Council Approved Street and Number where work is to be done 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 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 )0‘,U /b eR,e, h Registered Architect and /or Engineer O c..f •ra.Z Location and twill description of lot to be built on: Lot (O Block / 0 V Subdivision Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer 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 a plication, and � ( Date p r Read, S Building Inspector Date My Col PLANNING BOARD Chairman Membe Member Memb' Date �`� 19 8® No. In 3ci" Street / OE / 7 State work to be done and purpose of building (by floors). state exterior colors (submit samples) / and for no other purpose. New Building Remodeling Addition Repairs (/ No. of Stories To be constructed of Kind of foundation Roof Covering 08 i Estimated Total cost of improvements S ® Amount of Permit S c i 2 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 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 agree employ only such subcontya� tors. on work to be performed under this permit, as are licensed by Miami Shores Village. /a / '7 .■nneured . to -me well known. aim stated are true. Member Memk Date DisapF NOTE: A charge of $25.00 will be made for making corrections or changes to this applica, A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or fe...;y materials and /or workmanship. Date 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 DV/ Ce lt' r !` f S Registered Architect and/or Engineer Name and address of licensed contractor Location and leg dess�cription of lot to be built on: Lot oL / Block / B / Street and Number where work is to be done State work to be done and purpose of building by fi /e L roe, -F iii9 oo 4 ; h� New Building Remodeling Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. Permit No. Disapproved (Signed) 1 ss. APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Addition Repairs Date Date /0//8 / 19 P'9 No. 3 o Street AX 771-1, 5T »js' 53/f/- Date Subdivision ✓J /j y 44! P J j j,t ' J 7 / /O® t 63r N' L• 97 7 4 --A t emave floors), state exterior colors (submit samples) a k/ Ve tiff 7f`7 ,few (/ s(aC:f4 ) To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S (9 0 0J 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 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 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 to employ pnly such su tractors, on work to be performed under this permit. as are licensed by Miami Shores Village. Read, Sworn to and Subscribed before me. 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, tha he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida e // , - r 7 t / tr cy Tf "(e and for no other purpose. No. of Stories f G erv 7`s to me well known. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved late 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 and /or workmanship. APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 Registered Architect and/or Engineer /Name and address of licensed contractor 11Yd& 1 Location and le description of lot to be built on: /9-AIR r/ [/� Lot W 4- k t / Block �(/ Subdivision ' /'/�.^' fot q 4p / A�!/OU eet and Number where work is to be done &35 /11 E 977 S7 // (/State work to be done and purpose of building (by floors), state exterior colors (submit samples) /`/ / v� C/ / cr0'c o41 1-, r e - Zpo-ey /6A -2.A e e4e. �A „rF and for no other purpose. New Building Remodeling Addition Repairs No of Stories To be constructed of Kind of foundation Roof Covering 45)-- ✓Estimated Total cost of improvements $ /0 ) _Amount of Permit $ 7+0 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 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 agregg to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 fore going application, and tha Permit No. Disapproved (Signed) Date Read, Swor, Date Building Inspector My Commissl PLANNING BOARD Chairman Member Member Member Member Member M b er Date ,ti a 19 !? 9n No. I Street 77 , : �,Y STATE OF FLORIDA COUNTY OF DADE. ss. Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personall • -ppeared to me well known. 16P-2P , erein by him stated are true. Of anhoe Council Approved Date Disapproved _ Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after Iv approval W has y 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 and /or workmanship.