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801 NE 97 StSTATE OF FLORIDA, COUNTY OF DADE. ss. Permit No /a _ Disapproved __. Date_. ( Signed) Building l Inspector MIAMI SHORES VILLAGE BUILDIN INSPECTION1 DEPARTMEN PPU0CA`s°9 °N Pr° t i ,<' UILD!?` S PEA —MIT ._ Date.. Application is hereby made for the approval of the det, iled staternen of the plans and specifications herewith submitted for the build- ing or o h. -ructure her 1 described This rilicatic is made in compliance and con o•m ty w.th the Building Ordinance of Mia ii Shores Village, or da, and all pro isions of the Laws cf the State of Fkrid. all o d nances .,f Mi ni Shores Village and all rules and regu'a ion of the Building Div.. i of lam Shot illage 1- '1 ,e -o. ipl.ed with, whether herein specified or not. A copy of approved plans and specificati m must be kei at bui:dmg durin progress of tl.e wcrk. Date Owner' Name and Address -__._ ______1, = _ --/ ( No Street Registered Architect and /or Engineer._ t i - - -- -- - - -- - Name nd address of licensed contractor s-' V • V _a1 � ` : - ._ __._ (�- ° Location and le al description of lot to be built on: Lot D . _ .-- _._ -._- __ _ Block__ ___ G�� __ Subdivisi Member Member _.. Date Disapproved E Street and Number where work is to be done_ State work to be done and purpose of building (by floors) and for no other purpose. New Building _ Remodeling._ ____ _ __. Addition._._ ____ ___ Repairs_ _ _ No. of Stories To be constructed of *Co_ _ _ Kind of Aundation . ( i' Estimated ? Ro Cov 'ring__ �,l� ; ". :tal cost of improvements $__ L_ c' / n '� ,, l � �7 ' -� Amount c. Permit $__ . � � , _____ __Plan Cubage Size of Building Lot Zone -ubage required ___ Distance to next nearest building__ .. Maximum live load to be borne by each floor hereby submit all the plans and speciiic ations for said building. All notices with reference to the building and its construction may be sent to The unde signed appli ant for th "s building permit does hereby certify t' he understands and accepts his .•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act bc'ng S. -tion 5966 Col p led Gen al Laws of Florida P r anon S•ipplr nent, and h s compl ed w :th he prov':ions thereof, and will require s•milar comp lance from all col - actors or sub-contractors can In .ed by him in the wok to be p rl -med under th s pern it and ill post or cause to be posted for inspect on a site he work su i pub1ie Doti e or •otir es as are requir d by the Act. The u. d. r ign •d agrees to employ only such abcon ' u ;- �/p �r��r d der this permit as are licensed by M am. Shores ge. � Remarks_ - - - - - - ( Signed) _A, Before me, the undersigned authority, a notary public, duly authorized to administer oaths ..nd take acknowledgments, personally ap- peared _ --- - to me well known, and who, being by me first d. ly sworn, upon oath deposes and says that he is the .. _. of tit abov de .c ibed • Istruction t. • h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. Read, Sworn to and Subscribed before me. Notary Public State of Florida My Commission Expires_ PLANNING BOARD i c)` F! DATE Chairman ,r y = ,)- -- k I. , 2 i ' ✓✓ r t e ,, / , - -- Member _ __ . !' Member � ____ '\ ' � Lam.: 7 • Member - __ !N d Council Approved .___ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application eft.•r approval h been obtained from the Plant- ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is mr :e necessary by improper notice for inspe :•t'or or fay Ity materials and /or workmanship. /" /6 '7 7 73 / .s /_9 / 2/ _3 72 SKETCH OF SURVD:v Lot 13 Block 73, NIAV1I SHULS SiICN 1CO3 according to the Plat thereof, as recorded in Plat Hook 1C, at Page 37, of th u1io ecords of •Dade Courv4 Florida. Order ?o. i5 9C January . 1 1 1f:54 1 HERIXY CERTIFY: That the attachd "iT2■TTC1 SURVEY" of the above described rrorerty is true and correct to the best of my Isno and 'ie.- lief as recently surveyed and plted unaer ny direction. HARRY C. SC'TWEBKE . H y C. --. 1webke .legiste u L 1"..-4c; #607 • 2 PPLICATICI FI R Owner' Name and Address___._ _B_'a_o__ Layton MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN UILDING PERMIT Application is hereby made for the approval of the det,iled statemen• of the plans and specifies; ions herewith submitted for the build- ing or o h• -ructure her i described This t-i licatic is made in compliance and con•o•m ty w.tli the Building Ordinance of Mia ii Shores Village, or da, and all pro isions of the Laws tf the State of I.krid. all o d nances ,,f Mi iu Shores Village and all rules and regu a ion of the Building Div.. i of lam Shm illage 1- '1 e , o. ipl.ed with, whether herein specified or not. A copy of approved plans and specificati •n must be key at building durin progress of tl.e wcrk. Date 2.915.4 No 430 Notary Public State of Florida My Com:nission Expires ,19 Street_ __ _Grand___Conco Registered Architect and /or Engineer___ Name nd address of licensed contractor. _Lang__Roof ing__.and._.'�1�e__OO.Q _ _ 0 __. �? - .. -0 �h St , 9 niarrli 21E1_0_ . Location and legal description of lot to be built on: Lot __. _______________ Block__ __. Subdivision p Street and Number where work is to be done_ 802 __�Tn__Z'an___97tkh__rS a _ e.n State work to be done and purpose of building (by floors) - - - -- - - - - - -- - -- and for no other purpose. New Building. _ ___X__. _ . _ Rernodeling__ ____ _ ._. Addition__._ ___ _ -_ ..... __ _ Repairs. _ No. of Stories To be constructed of. ___ _ _ Kind of foundation . Roof Cov TA,lo _. _ Estimated " ,tal cost of improvements $ 685.00 Amount c ` Permit $ 5.00 Zone -ubage required_ ___ __Plan Cubage to next nearest building_ _ _ ___Size of Building Lot Maximum live load to be borne by each floor _ . _____ 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 unde signed appli ant for th budding permit does hereby certify tat he understands and accepts his obligations as an employer of 1 bor under he Florida Workmen's Compensation Act beng S. -tion 5966 Col p led Gen al Laws of Florida P r anen S•ipplt cent, and h s compl ed with he prov'uons thereof, and will require s•milar come lance from all contractors or sub - contractors emplo .ed by him in the wo k to be p rf med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public noti e or •otites as are requir d by the Act. The u. d,r ign -d agrees to employ only such abcontr• ctors, on work to be perform d der this permit as are licensed by M am. Shores ail : ge. Lang Roofing and Tile Co 0 9 Inc. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths “nd take acknowledgments, personally ap- peared .to me well known, and who, being by me first d. ly sworn, upon oath depores and says that he is the of th abov de .c ibed • istruction t, h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. Permit No 6 D __ Date__ ___. c?" C Read, Sworn to and Subscribed before me. Disapproved ___- - ____ . Date__ (Signed) BuildTng Inspector 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 !ftrr approval h hecn obtained from the Planr ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is m: .e necessary by improper notice for inspe-t•or or fa. Ity iatenals and /or workmanship.