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117 NE 98 StCITY OF MIAMI FLORIDA A OFFICE OF BUILDING INSPECTOR APPLICATION FOR BUILDING PERMIT (A copy of this Application, together with one cbpy of plans and specifications, must be kept at building during progress of the work) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub- mitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of the City of Miami, Florida, which said Ordinance was approved July 7th, 1919. All provisions of the Laws of the State of Florida, all ordinances of the City of Miami, and all rules and regulations of the Building Department of the City of Miami, shall be complied with, w th here)n specified or not. Q� , 192 -1� ddres Owner's Name and Architect Name and address of contractor or builder eel Location and legal description of lot to be built on: Lot Street and Number where work is to Purpose of building (by floors) Date _ Street, ____T7 No 3 & and for no other purpose. New Building Addition Repair Remodeling Number of Stories 1,1 1 Estimated cost of Improvgments ( t ncludi g furnishings) $ /V • • O Type of Construction , • _. Roof covering � Foundation Number of persons to be accommodated (maximum) per floor Distance from next nearest adjoining building (from all sides except Size of building lot ( Crt K 1 1 r street) Hy-0N Heating system, if any (kind) Plumbing Elevators: passenger ✓ freight Manufac urer Maximum live load to be borne by each floor I hereby submit all the plans and 9cification or said building. All notices with reference to the building and its construction may be sent to STATE OF FLORIDA, COUNTY OF DADE. } SS. My commission expires / / ✓ �'""'1 In this space give lot dimensions; make sketch of ground plan, and distance of building from all lot lines. (it Before me, the undersigned authority, a notary public, duly or y ized to administe edgments, personally appeared / r THIS TO BE FILLED IN BY BUILDING INSPE Tq�I Permit No issued upon above Application b` 7 192_ Classification Disapproved , 192 Reasons: w t .t.LIJA4n1( hs and take acknowl- 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 building, that he has carefully read the foregoing application, and that he di sign the same, and that all fa therein by him stated re true. (Signed) t t \ al Jo (Signed) Building Inspector. of J