745 NE 96 St (2)nation is hereby made for the approval of the detailed statc,..t•nt or me plans and specifications herewith submitted for the build
in 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 Villar 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 Carlos R. Duran
Registered Architect and /or Engineer
Name and address of licensed contractor Owner
Location and legal description of lot to be built on:
Lot 8 Block 69
peared
Disapproved
(Signed)
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
BUILDING INSPECTION DEPARTMENT
Building Inspector
NOTE: A charge of $1.00 will be made for
the Plannir.g Huard.
A re- inspection Ice of $1.00 will be charged
materials anti /or workmanship.
.............
Chairman
Mfcrnber
M ...._...._ _
Council Approved Date
Date..._..._... June 26 1986 __........ , I
No....�
745_ w . Street._... 9 6 N.E.
Subdivision MS Sec 3
745 N.E. 96th Street
.. ... ..,t..R!fAt•. •.,t ..... Lei
11 3206 14 2240 8
Street and Number where work is to be done _ •
•
State work to be done and purpose of building (by floors) ®1_ $. . Pei.4. ... Da
Notary Public, State of Florida
My Commission Expires
and for no other purpose.
Remodeling Addition Repairs No. of Stories
New Building
To be constructed of Kind of foundation Roof Cgvering
Estimated Total cost of improvements $ $3,000 ^mount of Permit $. 7 s
Zone cubage required Plan Cubage
Distance .to next newest building Size of Building Lot
Mfaxunum 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 t londa Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied ssith 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 sucjubcntractors, on work t performed under this
permit, as are licensed by Miami Shores Village.
Remuks (Signed)-.- . ......Q�"_3[ _
114.76 x 100
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-
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..
Permit No.._..._ . K- Date k 9 Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Member
Member
Member ...._ _.._.
Disapproved Dale
making corrections or changes to this application after approval has been obtained frrnn
when such re- inspection is made necessary by improper notice for inspection oe faulty