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770 NE 97 St (13)BUILDING INSPECTION DEPARTMENT APPLOCATOON FOR E= LJBLDING 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. X76 street_. . ,V7 Si: Date..._c Owner's Name and Address sxPi it e; ........ 5 ._ No Registered Architect and /or Engineer Name and address of licensed contractor r :.Al r 5 ski? C46 Location and legal description of lot to be built on: Lot Block Subdivision __ Street and Number where work is to be done 4° ir. , _. . � -4- . l�_ State work to be done nd purpose of building by floors) f' .' _ ...... � r ��� Q. w- � f - / v im . - 6 , . . - - — .. / . r / —/r--- - 1, Pia New Buil mg Remodeling Addition MIAMII SHO To be constructed of Kind of foundation Chairman Member Member ...... _--- -•_----- ._._._.__...._ Council Approved Date NOTE: A ch,uge of $1.00 will be made for the PI:inning Board. A re- inspection fee of $1.00 will be charged materials and /Or workmanship. ES VILLAGE and for no other purpose. Repaint No. of Stories X14 - Estimated Total cost of improvements $ 1 7 . ` 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 hire in the work to be performed under this permit; and will post or cause to be posted f.. inspection . ' th ite of he work such public notice or notices as are required by the Act. The undersigned agrees to employ only such.. .ntracto : •r /o be performed under this pennit, 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 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 state a e. Z Permit No .__.__ I Read, Sworn o and Subscribed before me. Disapproved _ ate (Signed ) ;;) Building pcctor y Commission - _ •fires PLAN ;`C BOARD DATE Roof Covering. tary Public, State of Florida to me well known, Member 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 Of faulty BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE Application is hereby mode for the approval of the detailed statement to me 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 . erroi. 02-s Registered Architect and/or Engineer Name and address of licensed contractor.../ Date.1.1— LL-.. _ ... __ ,19.. — No. ..7..2.Q..._... Street E 9 2 -S • 7_4 70 g F8 $ - Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done �l.Jl= L.. S State work to be done and purpose of building (by floors) P4t0. ot:e... (Ili 1- 30 Ti rn .�,.....Q. 1— S� `� o ; 4-1t ./tof ...Ft� tit • lit. It Repairs 6,00 13.Ans nt of Permit lf:)' T Imo, and for no other purpose. No. of Storie oof Covering.c+Zt!rr.ex..... Ncw Building Remodeling Addition To be constructed of Kind of foundation Estimate Total cost of improvements $.'�.42. Zone cubage required plan Cubage Distance to next nearest building.. Size of Building Lot lfaxirnum 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 un,lersigncd 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 kith the provisions thereof, and will require similar compliance Frorn all contractors or sub - contractors employed by hint 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 __._.__ ( Signed )... . v..eses 2. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorizcd to administer oaths and take acknowledgments, personally ap- peared to me well known, and who. being by mc•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 true. tru � � Date..\ .J..)9. fie) . Permit No ... ...I Disapproved (Signed) " Date Building Inspector Chairman \ferr,ber Member .. .. Council Approved Date Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Notary Public, State of Florida My Commission Expires Member Member Member - _.._..... Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Plnnnir.;.: Board. A re-inspection fee of $1.00 will bS charged when such re- inspection is made necessary by improper notice materials and /or workmanship. has been obtained from 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 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 andior Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot. "9 p �9 Block Street and Number where work is to be done l4 fl/ L 3 /t.v State work to be done and purpose of building (by floors). state exterior colo ,/-/ I /9 Qoo C. •77c /v ✓�E//� 2 7,7- Subdivision /// 7 j e. 77 65 '2 7 Date Q (submit samples ) 12(Pa'4' 2 S 19 No. / 2a ,/i eet 2 l! 3 h uicz o s 1/ tqf Iy °WO1' and for no other purpose. New Building Remodeling Addition Repairs No. of Storieess r .q- 1 To be constructed of Kind of foundation Roof Covering 700 / `� '" �" ti �^— b�- �y Estimated Total cost of improvements s 00 D. E ' Amount of Permit S �/ �/' Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to o (` iij c. / 3 L,!`)c0/ 1 ,,QO 9 A i( 41 STATE OF FLORIDA COUNTY OF DADE. 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 w'll 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 ly/ ch su) on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed I ) Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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. //3.� t/ Date V )i 49/9 / Read. Sworn to and Subscribed before me. Permit No. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of S25.00 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 workmanship. Notary Public. State of Florida `9 yg - 3 3x2