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1100 NE 99 St (4)Application is hereby mode for the approval of the detailed statement or the plans and specifications herewith submitted for the build ins or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shoes 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 iuilding 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 progreu of the work. 7(� , 19 /�� 6 i n .._._ Owner's Name and Address A T) z -- (�L .,_ ._. No.US° ye s... Streetff Registered Architect and /or Engineer . .. .........�,(!� y y •tyt,� fjtprj *''�tJ °' "�`•• -�/—P! 0 Name and adclress of licensed contactor S�` ,�.LY1..kY� C U�fl.�Z>� '.rsl11.l.��.1.. :�i�F.. G .._.._. Location legal description of lot to be bui t n: Lot Block / Subdivision.��..._�!3( l _. "/S2 7 Street and Number where work is to be done _...... State work to be done and purpose of building (by floors) � u 5f) y/9-1-6 ✓ - r ± €64 7 6 04' No ki4-t C4A617vG :- �__........ _..., G _ .__ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering . --------- ...._..__ r� Estimate Total cost of improvements $ G Amount of Permit $ APPLICATION FOR BUILDING 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 - • actors employe by him in the work to be performed under this permit; and will post or cause to be posted for ins�ction on the site f e work such uhlic notice or notices as arc required by the Act. The undersigned agrees to employ only such• : ;,,•. • -• :.77s��._ r . . , is pcnnit, as are licensed by Miami Shores Village. Remarks ( Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT a /3--7Y)/ • ...... • ............ STATE OF FLORIDA, COUNTY OF DADE. j ss. Before .me, the undersigned authority, a notart public, duly authorized to administer oaths and take acknowledgments. personally ap- peared C vrwuZ C> 0 7 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 . Peit No.._._ 5 L 4 _ Date. ..J Read, Sw•© to and Subscribed befor me. Disapproved �\ ! J Date. ._........_ (Signed) otary Public, State of Florida to me well known, My Commission Exp 44:.M E;4, k.( , F.1g8.J: - MY COMMISSION EXPIRES JULY 25 1987 PLANNING BOARD DAII6NDED THRU GENERAL INSURANCE UND 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 fmtn the PI,innii.g Board. A re-inspection fce of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspevtirsn or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building 0 Architect Contractor /� or Builder eietiP 4 Legal Lot Description Address of Building Bred he::T. ns submitt servant or This permit is granted to the et or or km tion herefor in strict compliance with all earfafteti plans, drawings, statements or specifications that at any time if the work is not done in colophon permit is granted is the underding that the regulations pertaining to the work' covered lien sibility for work done by his agents, sery Sign In consideration of the issuance to me pertaining thereto and in strict conformity wit In' accepting this permit I assume responsibility CONTRACTOI r BUILDER MIAMI SHORES VILLAG PERMIT x sit it ark to be performed under t 8570 FLORIDA Date +� dame 1L..t!. Subdi- vision Sq. Ft. ,prat► Value of I Arnoun a Project $ I Permit Ida, gamed above to construct the building or to install the equipment or device pettaitilng thereto and with the understanding that the work will be perforated sta bmitted to and approved by the proper municipal authorities. This Per or if the ns are changed without authorization. A further condition up ,r named ab the responsibility for a thorough knos of the ordin in the statements or specificath ns tl t he as Coot ractoes Ucense Pio. BY_ compliance to the proper authori employee. Owner's Name and Address. Council Approved MIAMI SHCIRES 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 progres of the work. r� Date__. 4 74! _ _ 62 ,19__4_ -G LC /Tl e IN/ No. / /00. . Street - 4i E � � - C7 — Registered Architect and /or Engineer.. _ __ _ _ Name and address of licensed contractor /J _ . J_, CJ 4 . ,Y4 ;- ' _S Location and legal description of lot to be built on: Lo. Block Street and Number where work is to be done State work to be done and purpose f building (by floors) Subdivision and for no other purpose. New Building __ Remodeling __. - Addition -. _ Repairs._ V _._. ____ No. of Stories To be constructed of Kind of foundation ._ _ Roof Covering 04 Estimated Total cost of improvements $ Cdr _ _ . . _ _ _ - 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 re' similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post u, cau,e to he 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 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 true. e ii-‘ p Date. 3_ __ 3- - _ ( _ Read, Sworn to and Subscribed before me. Permit No _ Disapproved nn Date (Signed) C_. �`._._ • � --r'__ _ Building Inspe r Notary Public, State of Florida My Commission Expires PLiANNING BOARD DATE Chairman . -_ Member Member _ Member Member Member Date Disapproved Date NOTE: A charge of $1.00 will be made for making correr ions or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charg, d when 5 h re .n.pectton is made necessary by improper notice for inspection or faulty materials and /or workmanship.