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1209 NE 98 StSTATE OF FLORIDA, COUNTY OF DADE. ss 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. Owner's Name and Address N,,,.. ..i..1. Gs._.' • gib. ra^ ilk ti� No...1G�. / c( �. Streetl�' Registered Architect and /or Engineer C AA-Qi../ S.. .... Y1 L-1EL- _ . ..1... Name and address of licensed contr4ctor.�VI . . .. .t.. .._ .�- _.:�...:�..!... !i�L 0 ac .21-r � _� �' •S� Location and legal description of lot to be built on: Lot 1 Block a. Subdivi Street and Number where work is to be done 1a State work to be done and purpose of building (by floors) Ce `?.. , } d4.tLi2.0. VII. TT and for no other purpose. New Building Remodeling {{ Addition Repairs No. of Stories / To be constructed of .. S Kind of foundation..) f v t.9�.1<..1,.t' I-0d, ry - T312 Roof Covering . ..C64./..1 - .i/ <. Estimated Total cost of improvements $ — 75. ' 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 spe (fications for said building. All notices with reference to the building and its construction may be sent to.... \_tt 1[.q ir� uN.._.S . t. .._..... . �5.. 5 iV t (3 4' 5.1 , !1/ , ll.l.tK. !:.`?!�.).. ..Fa.... 3.3.14.i 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 hint 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. p� Remarks ( Signed N•- ��Y - 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.__.. °r U 0 a 3 Date . 6 ! -7 V Read, Sworn to and Subscribed before me. Disapproved Date_ ___...__._ Notary Public, State of Florida (Signed) Building Inspector My Commission Expires --.....to me well known. PLANNING 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.in.pec•tion 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 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 `L 4_ .1 h Owner's Name and Address__ MI' T_ n0 ..�. _____ EALor_. No Igo ____ Street_ VI/ 4_ _g j 44-0 -t - C-6-11 kilt. 1e Registered Architect and /or Engineer J ?\� Name and address of licensed contractor ______1...d_fb_f-__b._-1 Location da desp;iption of lot to be built on: LL Street and Number where work is to be done Lot � dock Subdivision 111 ' -- - Stati wot to bsidone and p rpose of b ilding (14 floors) ____ �.__� /_ Jr 4 4 . bp i! t- - _ -_ Disapproved (Signed) New Building Re deling To be constructed H of "` ind foundation Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each STATE OF FLORIDA, COUNTY OF DADE. ss. are true. APPLICATION FOR BUILDING PERMIT a f Date 6 Date Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Gc. floor Chairman Member Member Addition 114. Repairs No. of Stories Amount of Permit $ PLANNING BOARD DATE Size of Building Lot Read, Sworn to and Subscribed before :me. and for no other purpose. Roof Covering 54 a ° Plan Cubage I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent too 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 inspections on the ete 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 performed i rider this permit, as are licensed by Miami Shores Village. to Remarks (Signed) _ 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 state Permit No.___/ " 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- 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.