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65 NE 96 St (2)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 4itt Registered Architect and /or Engineer Name and address of licens d contractor Location and legal: ion of lot to b Lot A B lock Street and Number here work is to be done New Building Remodeling To be constructed of STATE OF FLORIDA COUNTY OF DADE. } ss. APPLICATION FOR BUILDING PERMIT 1 Date t -12;t4/10 N. DcQ- g2 � 19 lw? j Street - ��f f Subdivision Sta te v�ork to be d Land purp f building by floors), state exterior colors (s bmit sam d 1 ' t � / 44- Addition Remarks (Signed) / , 4-p an for no other .urpose. Repairs No. of Stories d of foundation Roof Covering Estimated Total cost of improvements S 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 I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent tb 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; andtwill po or cause to be po d for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrey emp only such ontractors, on w• to performed under this permit. as are licensed by Miami Shores Village. // OS Before me. the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 6 $Y 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. Date Permit No. Read, Sworn to and Subscribed before me. Disapproved A 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 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. Notary Public. State of Florida • 6AL DESCRIPTION: Lot 21 and the West 1/2 of Lot 22, Block 6, AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the plat thereof as recorded in Plat Book 10, Page 70, of the Public Records of Dade County, Florida. (Legal description provided by client.) Certified to: Lakeland Mortgage Corporation, its successors and /or assigns Fo u1,, o PIPE. • o\ 09 PO LOAD PsPE, mar saris a t• es Usomme wT SURVEYOR'S SUL t • ' IP 2.G. S. ' in r 01.1 e - °STo Fs�.EV as (g.,5 r . CASTEL Rossierld 4111 ' 4` rirr F144121 Stag M Flortdo w� {�CU >MC-4mtiS, • • 14 tr T 6 - ©O ' s(? , MMI/V . n.t NO .+na r.ta.•t.t.. n.;M1. OOPS tit* .t t•.Mtew t.�•U..rMN t. .AM t, t.• State Of F iorillo t w. a aw So tilers pummel t. S..tN. S.ae7 rbsd. e,••t.,. Miner. es .st. sImmot...'.a....ossfa +w.r.a*a tMtMNet M ,IsI r MNMt tS -Ip� tit l ,► k1. J= • '& 9G ST.'+ LO COAT IO N,t �1"� GH .r< PrPE 5;°' c. Pt.IN+., rex_ c< • 12; IS c 9.8r� j% t - . at`� ' 11.00 994_' �` ... -. IRPL7M1 I { , s Y 'n X C,' wit ° iv a s E 2i y 7* i <• V Note: Lands sho hereon were not abstracted Erevatiorts< b n for e�a�•.ements and /or right -of -ways of record. ' i e e M O .7 9, NGV Datum. FL000 ZONE : G oft.f FO /PIPC. 6 5 4 5 $ sd eo •NVI SURVEY Ftfllt: PATERNO, Louis T. and Mary K., 65 NE 96 Street, Miami Shores, FL BOUNDARY SURVEY 33138 54 z� Bearings if shown are based on assumed meridian and Plot of Record. GARY EL CAMEL SURVEYING, INC. LAND SURVEYORS 12016 S.W. 132nd COURT MIAMI. FLORIDA 33186 (305) 253 -6767 u 2 g 0 /5t lie A /9-7' &;