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670 NE 97 St (4)APPLICATION FOR BUILDING PERMIT Application k hereby utndc for the approval of the detailed statement or tree plans and specifications herewith submitted for the build inc or other stroeture herein described. This application Is made in compliance and conformity with he 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 iltriltling Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plots and specifications must be kept at building during progress of the work. MIAMI SHORES VILLAGE Date .... .. __.... _ C-3 __ ,1f).. S ° Owner's Namo and Address ...... ... J .:..' .. — No.. Street22... _. _ .!, Registered Architect and /or Engineer Name and address of licensed contractor .!A 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) New Bui!ding Remodeling Ad do � Repairs No. of Stories r To be constructed of Kind of foundation /(..rZ _ Roof Covering Estimated Total cost of improvements $...5j t� Amount of Permit $.. Zone cubage required plan Cubage , Distance to next nearest building Size of Building Lot \faxirnum live load to be borne by each floor I hereby submit all the plans and specifications for said building. /.11 notices with reference to the building and its construction may be sent to. Member Building Inspector BUILDING INSPECTION DEPARTMENT and for no other purpose. The umlersir;ncd applicant for this building permit does hereby eerily that he understands and accepts his obligations as an employer of Libor under the Florida Workmen's Compensation Act, being Secticn 5966, Compiled General Laws of Florida, Permanent Supplement, anti 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 tinder this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such s ntractors, o to be performed, under this pennit, as are licensed by Miami Shores Village. Rernarks (Signed STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authori.ted to administer oaths and take acknowl gments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says tha: 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 *A� Date Read, Sworn to and Subscr(bed before me. Disapproved i�. ..,� Date (Signed) Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member \fcrr.ber _ Member . .......... .._...., Member ...._ ........... .....__.................__..... Council Approved Date D,sappruvod Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmm the Plannir.g Board. A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection of faulty materials anu /or workmanship. 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 kelt at building during progress of the work. Owner's Name and Ad e gS Ol.� Registered Architect and /or Engineer 6 7 !/ 14 E« 7 . Name and address of licensed contractor Location and legal description of lot to be built on: Q y� y°l� �/ Lot fl w E Block / O® Subdivision ) i u iT'-Y n // �'�aC � / /y /610 J � Street and Number work tob done a um er where wor is be on e State work to be done and purpose of building by floors), state exterior colors ( submit samples) 6 7 0 VI q 7 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date 3/ er/i9 No. Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stories � To be constructed of Kind of foundation ] Roof Covering n v Estimated Total cost of improvements S q Amount of Permit S v 6' O7 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 Remarks IS' g ned) The undersigned applicant for this building permit does hereby certify that he understar ds 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 S ipplement, 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 employ only s .contractors. on wor, to be performed under this permit, as are licensed by Miami Shores Village. < STATE OF FLORIDA COUNTY OF DADE. } SS. /195 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, 1,nd that he did sign the same. and that all facts therein by him stated are true. Permit No. Disapproved (Signed) Council Approved Building Inspector Jr Date Date PLANNING BOARD to me well known. Rea I. Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Chairman Mem )er Member Meml )er Member Meml , er ate Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this appli after approval has been obtained from the Planning Board. A re- inspection fee of S25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapprove Date- - ( Signed) MIAMI SHORES VILLAGE BUILDING INSPEC DEPARTMENT APPLICATION FDR.BUILDINO 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 .tate of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village sll all be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progre ss of the work. Owner's Name and Address Mr, & Mrs, J, J , t[oefker Registered Architect and /or Engineer Name and address of licensed contractor Mer_ri_t Location and legal description of lot to be built on: Lot 3 EA 1 g of 4 Block 100 Subdivision Street and Number where work is to be done 670 - ET. _.____97th___Str_eet_,___ 4iami Shore State work to be done and purpose of building (by floors)__ – ___.. Porch Enclosure - - -- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation__ _QXi S t S Roof Covering co Estimated Total cost of improvements $ 185 , 00 _Amount of Permit $ 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 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 Se ition 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 emp toy only such subcontractors, on work to be perfArmed 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, 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.___ _C__ Date J Read, Swom to and Subscribed before me. Building Inspecto My Commission Expires PLAy� INC BOARD DATE Chairman Member Member Member b [ember Council Approved Date E isapproved Date NOTE: A charge of $1.00 will be made for making corrections or 2hanges 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- inspecticn is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date July 13 , lg 65 No 670 Street N. E. 97th Notary Public, State of Florida 6 a r 6 0 i� -