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1223 NE 99 StApplication 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 t_ • F. Kreger Registered Architect and /or Engineer ...... .,,,•,,,,,,, ,,,,,,,,,,..,,.,.!, Name and address of licensed contractor O b e n o u r Roofing C o. 7357 N. W. Miami C t Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done 1 223 state work to be don and pu po a of b udding ( i o floors) ply built u p asphalt a n d and for no other purpose. Remodeling Addition X Repairs No. of Stories Kind of foundation Roof Covering 5 s q s . improvements $ 400.00 Amount of Permit S. 12.50 _Plan Cubage Size of Building Lot New Building To be constructed of Estimated Total cost of Zone cubage required Distance to next nearest building 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 pennit 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 pennit; and will post or cause to be posted for insp tion on the site of he w.rk such public notice or notices as are required by the Act. The undersigned agrees to employ only 14. sue y ctors, on wor . performed under this pennit, as are licensed by Miami Shores Village. Remarks (Sig 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 Permit No / Date Disapproved ....... Date. ( Signed) Ll4l ' Building Insp or Chairman Member Member ....... MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Subdivision N. E. 99th St. Install four 3 -30_7 PLANNING BOARD DATE March 29 77 Date... �..._....__...._. _.._._._..._�_..._.....�.._.... ,19.._._ No 1223 , saw. E. 99th St. Read, Sworn to and Subscribed before me. to me well known. Notary Public, State of Florida 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 - ;n pcction 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. 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 Budding 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. �pp 71001,1 Date..._ 3. 8 _.......__ _..._._._..._... ,19 KU ..1._ / Owner's Name and Address........ • .E �`G _ No 1"'L"Z hI ?f Registered Architect and /or Engineer ' etPi ..:.. -, _ .0 J. ,. Co: / Nc„ _ 1 r?7N6,1 ft( - f. M1 . R+ 1._3316a Name and address of licensed contactor Location and legal description of lot to be built on: Lot 2-- Block I Subdivision at-1-0 Si;O Q; q..9 ... -_ _ .._.._ ._ Street and Number where work is to be done State work to be done and purpose of building (by floors) .S- -1 P i 1 A M....._ � and for no other purpose. New Building Remodeling )& Addition x, Repairs No. of Stories f To be constructed of Kind of foundation ierr) 14 v e4 C Roof Co ve 6•�' f �� E - L Estimated Total cost of improvements $ Amount of Permit $. 2 • r 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 Sup dement, 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 f . 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 ntractors, on ork to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, j 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 fore:oing application, and that he did sign the same, and that all facts therein by him state ire true l Permit No Disapproved (Signed) MIAMI SHORES vILLAGE APPLICATION FOR BUILDING PERMIT BUILDING INSPECTION DEPARTMENT. d, Sworn to and Subscribed before me. Notary Public, State of Florida 75/ 357- Building ector My Commission Expires PLANNI /► s' BOARD _.._......DATE Chairman ! Member Mfcu ber 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.