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650 NE 97 StMIIAELIO SHORES VOLLAOE BUILDING INSPECTION DEPARTMENT c{LESboL °\ APPLOCATO0N1 FOR UOLDINS PERMOT Application is hereby uinde for the approval of the detailed statement or lire plans and specifications herewith submitted for the build • in 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 P V -T� U Registered Architect and /or Engineer Name and address of licensed contractor... o cdw si o w ,h, J * . rt , Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Co S 42 Lv/.t. ! z ° L7 .. _ S r. __ 1/14 on- State work to be done and purpose of building (by floors) Riu- W\ a •! `- _rz- X= ..sl,! 4- 'ifs k ' 1 N t ;7 c (� S'� 1� ` N W �� � ... ) . 1 �� r � '� t TAI 1 _..__ and for no other purpose. New Building Remodeling Addition Repairs f Covering Estimate Total cost of improvements $... I.. O O ' O 0 Amount of Permit g. � �` Zone cubage required / plan Cubage Distance to next nearest building Size of Building Lot Maximum live Toad 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.. W ci ° d w . (•.4 C .. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Labor under the Honda Workmen's Compensation Act, being Section 5 066, Compiled General Laws of Florida, Permanent Suppl and has complied ssith 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 nspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only tom j , 1 'rLL work to pe, ormed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed To be constructed of Kind of foundation R STATE OF FLORIDA, COUNTY OF DADE. ss. Bcfore 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 No.._ y9 Date X/* Read, Sworn to and Subscribed before me. Disapproved ... ,`.. :► ... Date (Signed) Chairman \Icrr,ber Mcmbcr .. - --...._..._._ ...._....... Council Approved Date NOTE: A charge of $1.00 will be made for the I'Lr lio,trd. A re inspection fee of 31.00 will be charged materials and /or workmanship. Date..._ �_...w ,19 -3 No. _ — 6 S O ^a :fz. Street c t...7. .� Sr No. of Stories 4 — Notary Public, State of Florida Building Inspector My Commission Expires to me well known, PLANNING BOARD DATE Mcmbcr Member Member ...._ Disapproved Date making corrections or changes to this application after approval has been obtained from when Such re- inspection is made necessary by improper notice for inspection or faulty 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. Owner's Name and Address.... Lir ..n....MQ.r_ton....A%l.CheJ.i. No. 670 Street.-- .RE. 97th Street Registered Architect and /or Engineer Name and address of licensed contractor Allied Air Conditioning Contra o : -Qr ,..--. 2 61...S..a.w"Q. - -8 th S t o Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) Install Chi.ysJe-r. A.ir exap.._3 - - -ho :po - -- .Air--- lr.ondi.tioner - - -- air--- .c- ca.l-e-d with. ._rPuer _s- e- .cy- c.le..heat and for no other purpose. New Building Remodeling X Addition Repairs No: of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 1 760 o 0 0 Amount of Permit $ � �i. °� 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 Date August 26 , Is 58 6 The undersigned applicant for this building- pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's CompensatiVn Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar c mplianc€ from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause t be osted for inspection on the site o e work such public notice or notices as are required by the Act. The undersigned agrees to employ my such su»bntracto r ork . � . .erformed under this permit, as are licensed by Miami Shores Village. Remarks (Sign d) 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 9 7 lL7 Date 9 — ) -- ? Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) 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. MOANC1 SHO f'-2 ES V0 LLAS !E BUILDING INSPECTION DEPARTMENT APPLIICATD(C7lN FOR SLALOMS PE i -� MOT 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 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of1Jot to be built on: Lot � W ' 1 2 Q- R loc t /00 Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling / c.t:. e i m Chairman Member Member Council Approved Date Subdivision / 1' �4_rn [ fI_L e ss _ and for no other purpose. Addition Repairs.. Date.-•- - • No.. '.' c7 Street., V To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ (P -_> J s 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 w rk to be performed under this permit, as are licensed by Miami Shores Village. � Remarks_-._ ( Signed ) /y — ` 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 e. _/ e Permit No 1` -O ll Date / r Read, Sworn to and Subscribed before me. Disapproved : i � _ .. _ Date (Signed) / Notary Building Inspector J y Commission Expires Notary Public, State of Florida PLA NG BOARD DATE J� No. of Stories Member Member Member 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.