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FENCENew ia e v MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. 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. t � Owner's Name and Address �7 • .1:11 No.i.Q . Str ..ZJ.Z.-.. Registered Architect and /or Engineer Name and address of licensed contrgctor 1 Location and legal description of lot to be built on: Lot Block / 79 Street and Number where work is to be done 1 State work to be done and purpose of building (by floors) ui • ing Inspector • PLANNING BOARD .,19.7 .9 7 D 1_111�i1s�1 S' f arr.. _ _ ^....._._...... 6 7r 9�f and for no other purpose. No. of Stories i vering a.t.e .r ... Remodeling Addition Repairs To beconstructed of C- Kind of foundation _ f e .P)...C.P Voa Estimated Total cost of improvements $....../..L. • / 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 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 subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. ■ Remarks..._ (Signed)_.. .:f� __.�.._....�.. 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, 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 ar true. Permit No. 2Qt Date It) Read, Sworn to and Subscribed before me. Disapproved Date _ __ (Signed) Notary Public, State of Florida My Commission Expires DATE to me well known, 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 appmva) has hero obtained from the Planning Board. A re-inspection Ice of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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 ._ .._ R Name and address of licensed contractor Location and legal description of lot to be built o Lot A Block /_. - -y Street and Number where work is to be done State work to be do MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT ne a p ose f building and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundattion Roof Covering io Estimated Total cost of improvements $ .3 deD Amount of Permit $ I a o 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 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 ubcontractorss on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed).. 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. Permit No /4-24 Disapproved (Signed) Chairman Member Member ...._ Date Building s' "ctor BUILDING INSPECTION DEPARTMENT • Subdivision by floors) Date L Read, Sworn to and Subscribed before me. Notary Public, State of Florida PLANNING BOARD DATE 0 , 194_ 7 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 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. I 1 r-_ D Owner's Name and Address.. Registered Architect and /or Engineer Name and address of licensed contractor Permit No Disapproved (Signed) _. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. �/ ) � � � � / Date / �//eirA/ /7'� /1' /�SO6J No / Location and legal description of lot to be b i on: 9 / Lot D Block / 7 / 1 Subdivision ,4 /� p t' P4 24-- Street and Number where work is to be done /0 23 tit , y `rT State work to be done and purpose of by ilding (by floors) 79/ �, c Tevu2o 5 .ee i /f and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $. 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 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, work 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 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. ate Date G.69 X-'e, 2 4f0 /t1 -fJ( .s7" /2 Street to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida C,D ST / 98 Building Inspect My Commission Expires NING 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. / i/ 1 • • IT .•;); 1: . • J. B. FORD CO. 1774 W. Flagler Street dis/ffmI 35, FLORIDA Phones: FR 9-3508, FR 1-0027 111:111iiirldilirCl••••••=111111111••••• I / ' , .1 VI( 1_,.. f, , N / / / , 1 \ I ..........----_ -, ---.--.---.-_---.,,-,------..---------4-- AY./. •• / ' ..7 T. /-- • 1 a • • io e56 \,) h -, - • ,•, 4: t / 434 t r c. - 1 . .i -- -/e") --- vi r 4 • I ‘• \ / f t ..--- ...-..., .-.•• • .1-.....• 6 ,:,..- \ :‘ 1 ' ( lir) ( . I HEREBY CERTIFY that the :It, achthi sketch represents a survey made under my direction and is true and correct There are no encroac.. REGISTERED LAt,.!. STATE (Jr t'LORIDA tr) v CO F . .5Z*0 / 7 9. /€::1 VLF ;(-- According to the Plat thereof as recorded in Plat Book Public Records of Da4e County, Florida. F o IDZ:19Ar G U-5$ • - h ow n 1 11 . I / 1 ; 7 1 cl _ _ Lir& _a • , at Page Date if •;.•) ,f //, /26 / • • 747.2; • ' t s ; 0 N. I: ' 4 • N 7 - , • 4 / 0 • i" 1 1 1 1 1 M. w; 11 ;s oA 1 to aS WI' r? , am sS4otes a Legal: • Lot•No. 123.03 -94 BUILDING & ZONING - ADMIN''ISTRATION 1 PLOT PLAN • • • ges7 Y TERR., AVE., CT., -PL. NO' SCALE �7 Block No. / / 9 K SEC. TWP. RGE. . NOTE: 1. Show existing buildings and additions. 2. Show distance from property lines to buildings and /or new additions. 3. Locate septic tank or sewer and electrical service. Subdivision") ' or Metes & Bounds Plat book and P No. V 7- kv