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1135 NE 99 St (7)APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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... — - 2 Ownei s Name and Address ..AST+ 1 4 4 rn �...._ .... V S tst t'`� _ No... / Jer... Str Registered Architect and /or Engineer "-,..........TV.E.. ' Ea. �... - Name and address of licensed contractor ..1.,Q! r Location and legal description of lot to be buil on: Lot 1? ? Block i Street and Number where work is to be done State work to be done and purpose of building (by floors) Disapproved / c (Signed) Building MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Subdivision S # g3 1 ST and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of t o founda t;jering � Estimated Total cost of improvements $ .DD Amount of Permit S. w.. 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 theFlorida 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 arc 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. r� 77 Remarks (Signed)..�.... _a .V e STATE OF FLORIDA, i 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. Permit No.. I) �� 7 Date -. -.] — 2 r,e Read, Sworn to and Subscribed before me. Date. nsp or PLAN NC BOARD DATE Chairman Member Mernber Member Member...... _-•------ _ -._.. --- •- - -_ - -_ Member _..._._ - .- Council Approved Date Disapproved . 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 51.00 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 My Commission Expires be sent to Chairman Member Member . ._ Council Approved Disapproved _._ ___ Date._ ( Signed) '�f' =_, R , Buildiry� 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 ' 19 7 Q Owner's Name and Address "^' ��' � No. - fro 1 - -- Street �` f/,!! L/ 4 Registered Architect and/or Engineer.. Name and address of licensed contractor r £te 74 Location and legal description of lot to be built n: Lot Block u� »t rsa Subdivision if Street and Number where work is to be done State work to be done and purpose of building (by floors) - 1 ' t g1. ........ _ .._ ._______ ......... . and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of.. Kind of foundation Roof Covering. Total cost of improvements $ �SQ Amount of Permit $ Zone cubage required _ .______._plan Cubage _. Distance to next nearest b u i l d i n g- - - - - - - - - - - - - - - - - - - - - -- - . Size of Building Lot ._._ .. Maximum live load to be borne by each floor___ I hereby submit all the plaj ansLs• • ications for said building. All notices with reference to the building and its construction may 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 subco a to be performed under this permit, as are licensed by Miami Shores Village. / Remarks -- - - (Si ne 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 Z ted true. /1 Permit No.____J 2.Q / ____ ________. _ Date 2 7D Read, Sworn to and Subscribed before me. C. Notary Public, State of Florida My Commission Expires__ PLANNING BOARD__ __ . DATE Member Member Member -- - -- - _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. 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. Owner's Name and Address Date , 19 16 __ -- ��'s /_9 No._J/ •4.5 Street /V4 f. 2m Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot_____ Block • Subdivision Street and Number where work is to be done 14J State work to be done and purpose of building (by floors) /6srr 4" Caovc a' -re 4- 4 • F__T 4es! -1- -. . a.e P A OX _ f_2__Ae " O '2A k4.. ► _!G.t __ _a...Q_,[A.A.. �Y�111_C.veL,�,:.. • 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 $_ ' 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 permit, as are licensed by Miami Shores Village. Remarks (Signed) /ff ____ 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 caref *Ily read the foregoing application, and that he did sign the same, and that all facts therein by him state / are true. Permit No 9 ( Date___- __ C � Read, Sworn to and Subscribed before me. Disapprov _ D (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Building Inspector 4—.4-- PLANNING B D Notary Public, State of Florida My Commission Expires 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. DATE