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858 NE 97 St (5)97 MIAMI SHORES VILLAGE Application is hereby made for the approval of the detailed statement or Inc 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 5.d. k.1, r'i — 6" N 359114' . No... _...» .._». Street_.... Registered Architect and /or Engineer ..•....•`" i;� R Name and address of licensed contactor l R. A \`L \z---'`�`- d A .:.4f :t. !— Location and legal description of lot to be built on: Lot B lock Subdivision t'" �' C.. Street and Number where work is to be done c _ Ja A •_.._......� State work to be done and purpose of building (by floors)....._ 2 .. Q�L� 341 ._.2 .,2 � top. Pi �" ` ,� ,�.. e , ire ' .; Ke " _.. ..�t� / ,,� 67-- .P� ..__...�. and for no other purpose. New Building Remodeling Addition To be constructed of Estimated Total cost of improvements $ Zone cubage required Distance .to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit a plans.nnd specifications for said building. All notices with reference to be sent to t A ttt� c— O l (51—irr. l .41.. The undersigned applicant for this building permit does hereby certify that he understands and of labor under the 'Florida \Vorknten's Compensation Act, being Section 5966, Compiled General L anti has complied with the rovisions thereof, and will require similar compliance from all con in the work to be performed under this permit; and will post or cause to be posted for insp or notices as arc required by the Act. The undersigned agrees to employ only such su permit, as are licensed by Miami Shores Village. Remarks (Signe STATE OF FLORIDA, 1 . COUNTY OF DADE. i 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 stated are true. Permit No.: ..2.3.(4.1.¢. Date ' 0-ii Read, Sworn to and Subscribed before me. Disapproved (Signed) BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Kind of foundation. Date .111. 1/tt•••,1f•/flfftTTffttt•1•1/1 ttttt LT1•!t Repairs No. of Stories - — Roof Covering x. 1.0.,.0 0 Amount of Permit .plan Cubage Notary Public, State of Florida Building Inspector My Commission Expires the building and its construction may accepts his obligations as an employer ws of Florida, Permanent Sup dement, or sub - contractors ens loved by him e site of the work s s uhlic notice on work tq. per a under this to me well known, 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 hecn obtained from the Planning Board. A rt•inspr•ctiun fce of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement or 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 budding during progress of the work. / /, /I Date..._...._... _:Z/3_.__._..._......__..._... ,19. Owner's Name and Address ......... ctRs�tr�....A • 1 1 c-.Gc . .I.A.L.a . - No....P p . Street f.2_ Registered Architect and /or Engineer ,,,,. ,.•• •••• _ . Name and address of licensed contractor Ot..r.rse.e.. - 6..s r:.c2— Loc tion and legal dcscripttio of lot to be built on: fI ,(� Lot. 7 — 1— %l . .. Block 7Y p Subdivision. ..../. itc!: i J v`o'+�.�..�g �tL.�.� /Va ' 3 G._ Street and Number where work is to be done 8s-re? ! r - .2.. 1._.. _ fi , .._. _ _ .._._ State work to be done and purpose of building (by floors) _.9igs-/.1. ° `!Ae -'. and for no other purpose. New Bui!ding Remodeling Addition 4 \ / Repairs No. of Stories To •be constructed of wool Kind of foundation Cl..iL Rya Covering Estimated Total cost of improvements $ ZO0 Amount of Permit $..Xd 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.. ..... ..a.�d•,r� The inuiersigned 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 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 work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks..._..... (Signed) • .Chairman \1crr,ber Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Building Inspector 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 true. I Permit No.._ / / CO Date ) 7vl 0 3 Read, Sworn to and Subscribed before me. Disapproved Date. -•• Notary Public, State of Florida ( Signed) My Commission Expires PLANNING BOARD DATE 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 nfter approval has been obtained from the Planning Board. A re 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. APPLICATION FOR BUILDING PERMIT Application is hereby umde 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 prggress of the work. 19..72 Owner's Name and Address . R.! usi _. No. ... 11..._.. Street.. sae 7 Re Architect and /or Engineer \L f.L l U M p. 1 . . ,,,,,,,,,,,,, , Name and address of licensed contractor Eil•r f r...�L..� .V fl��..�_. l.gr....r! g5 ..... . v, ,tv<9x ! Location and legal description 2�f lot to a built on: Lot kA) A. 9,,4.7.1 rr..... iBlorck 1✓ -.4' Subdivision.. . ll) 1 � �.� � .5 ri@iq.."�:� Street and Number where work is to be done °° State work to be done and purpose of building (by floors)... — Id r bL ...A. °...J. .. �� ..._ C : : 8.s , arnor) v.! 1 ]C k .....d °.! _ ee T N - roe> ON P e 1 - 4 I D E a t _ . . . . . r e , W v I:( ) L41.11:O t 10 A-TMPv4414. _ .. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of C e.n Kind of foundation... /. di g . Cr /dg • �' Covering O vsi? �' - �%7 e�z� 2_ Estimated Total cost of improvements $ 8., .. 0 Amount of Permit S. t � ffll Zone cubage required .Plan . Cubage. 1 Distance to next nearest building ,,pp Size of Building Lot i4 Maximum live load to be borne by each floor A I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may t teN 11 1 NE. d ism 0-d a�, a cs® ' -' ��;\\ 4,14. TY <a b t9 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 work to,e performed under this Remarks (Signed) --i4A,47„, pcnnit, as are licensed by Miami Shores Village. ,.. L j / ,', V 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. 1C9 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.. f '1' 2._ Date t )119 Read, Sworn to and Subscribed before me. Disapproved ... (Signed) Chairman Member Member Buil•ing Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date PLANNING BOARD ..... .DATE Notary Public, State of Florida My Commission Expires 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 hecn obtained from the Planning hoard. A re inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.