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846 NE 97 St (13)Name and address of licensed contractor MIAMI SHORES VILLAGE UILDING INSPECTION DEPARTMENT APPLIC .'N FOR BUILDING PERMIT Application is hereby made for the approva e detailed statement of the plans and specifications herewith submitted for thc, ing or other structure herein described. This app is made in compliance and conformity with the Building Ordinance of M,. Shores Village, Florida, and all provisions of the L the State of Florida, all ordinances of Miami Shores Village and all rules a, regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approve. plans and specifications must be kept at building during progress of the work. wr" Owner's Name and Address zAd_f9_� Registered Architect and /or Engineer ''��L.G� " n i %i/ Location and legal description of lot to be built on: Lot ✓© t' /__ J Block 77 Street and Number where work is to be done State work to be done and purpose of building (by floors )__^ New Building_____- / To be constructed of _CAS . Kind qq of foundation____ �_1 c_e Cl/s1.-IL'--p Estimated Total cost of improvements $ ll _ __L_t%_C7., Zone cubage required 24, eiii"rya Distance to next nearest building .2.__a ° 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 - - -- Q_¢ /P _ i.e --. A- R__ 6_ . P�2 ? Imo;- - -° c` ..::: L ' L!,--'1 2. ' - d O 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 Vaork to be performed under this permit, as are licensed by Miami Shores Village. 1,1,- - Remarks Remodeling Addition 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, upo of th described construction, that he ther stated are true. Penn No.___ _ /'��_�/ Da Disapp wed Date (Signed) n _ � u 1 ��� „ Building Inspect Chairma Member Member Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. (Signed} Dater ,1987 No Street - f. L2,2l__ // �1 / — c� l l�C _ (6 •5 a 0 Subdivision &? / - 1..i'_E ? and for no other purpose. Repairs No. of Stories_ Ro f �_� ; _� , Amount of Permit $ _Plan Cuba g e_ ) ___ Size of Building Lot_____ ' to me well known, deposes and says that he is the carefully read the foregoing application, and that he did sign the same, and that all facts 'Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Member Member Member Date Disapproved or changes to this application after approval Notary Public, State of Florida My Commission Expires Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty CG • Street and Number where work is to be done 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_ ' -,.--,, Registered Architect and /or Engineer_ Name and address of licensed contractor____ Location and legal description of lot to be built on: Lot Block Subdivision State work to be done and purpose of building (by floors ) _ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date 1 +� / - , 19 Street New Building Remodeling Addition Repairs No. of Stories and for no other purpose. To be constructed of Kind of foundation Roof Co Estimated Total cost of improvements $ — ___________Amount of Permit $_ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot ering 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 'co tract `ork to be performed under this permit, 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 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 ue. Permit No r 6 ` Date 7 -../f_ f Read, Sworn to and Subscribed before me. Disapprove •= Date am- : Notary Public, State of Florida ( Signed) > <I,E_ "-,;- � 12 -- -- Building Inspector (,- i 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.